| Wolf River Dental Llc | |
|
152 Woodlawn Dr Shawano WI 54166-2200 | |
| (715) 526-3314 | |
| Not Available |
| Full Name | Wolf River Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 152 Woodlawn Dr, Shawano, Wisconsin |
| Authorized Official Name and Position | Timothy Mathison (PRESIDENT & CEO) |
| Authorized Official Contact | 6087098303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wolf River Dental Llc 152 Woodlawn Dr Shawano WI 54166-2200 Ph: (715) 526-3314 | Wolf River Dental Llc 152 Woodlawn Dr Shawano WI 54166-2200 Ph: (715) 526-3314 |
| NPI Number | 1144684002 |
|---|---|
| Provider Enumeration Date | 04/07/2016 |
| Last Update Date | 04/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144684002 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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