| NPI | 1053489708 |
|---|---|
| Doing Business As | WAUSAU FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | TODD HEHLI Dentist 715-833-8755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2020-07-21 |