NPI | 1962910810 |
---|---|
Doing Business As | RED CEDAR DENTISTRY |
Entity Type | Organization |
Authorized Contact | JENNIFER HASTINGS Dentist/Owner 715-309-2999 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WI 7263-15) |
Enumeration Date | 2018-01-12 |
Last Update Date | 2018-01-12 |