NPI | 1386810059 |
---|---|
Doing Business As | FAMILY 1ST DENTAL OF WAUSA |
Entity Type | Organization |
Authorized Contact | CHARLES S. SKOGLUND Owner 402-644-3177 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice |
Enumeration Date | 2008-05-02 |
Last Update Date | 2008-05-02 |