| NPI | 1144776428 |
|---|---|
| Doing Business As | WISEMAN AND SKABELUND DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | TODD R SKABELUND Owner 707-527-9280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2016-08-28 |