| Blong Inc. | |
|
16 E Bayfield St Washburn WI 54891-4401 | |
| (715) 373-2612 | |
| Not Available |
| Full Name | Blong Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 16 E Bayfield St, Washburn, Wisconsin |
| Authorized Official Name and Position | Teresa Matthys (OFFICE MANAGER) |
| Authorized Official Contact | 7153732612 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blong Inc. Po Box 415 Washburn WI 54891-0415 Ph: (715) 373-2612 | Blong Inc. 16 E Bayfield St Washburn WI 54891-4401 Ph: (715) 373-2612 |
| NPI Number | 1588384861 |
|---|---|
| Provider Enumeration Date | 08/29/2022 |
| Last Update Date | 08/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588384861 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |