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 |