SOUTHWORTH DENTAL

WAUSAU, WI
NPI1699015974
Entity TypeOrganization
Authorized ContactGENIE KUBLE
Contact Officer
920-450-0157
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2013-02-22
Last Update Date2013-02-22
Business Address
SOUTHWORTH DENTAL
609 JACKSON ST
WAUSAU, WI 54403-5550
Phone number: 715-842-1935
Mailing Address
SOUTHWORTH DENTAL
609 JACKSON ST
WAUSAU, WI 54403-5550
Phone number: