| Prehn Dental Office, Llc | |
|
413 Jefferson Street Wausau WI 54403 | |
| (715) 842-1270 | |
| (715) 848-2906 |
| Full Name | Prehn Dental Office, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 413 Jefferson Street, Wausau, Wisconsin |
| Authorized Official Name and Position | Frederick Carl Prehn (OWNER OF PREHEN DENTAL OFFICE) |
| Authorized Official Contact | 7158421270 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prehn Dental Office, Llc 413 Jefferson Street Wausau WI 54403 Ph: (715) 842-1270 | Prehn Dental Office, Llc 413 Jefferson Street Wausau WI 54403 Ph: (715) 842-1270 |
| NPI Number | 1770660946 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 04/07/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770660946 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2930015 (Wisconsin) | Primary |
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