| Ag Perio Llc | |
|
2316 N Grandview Blvd Waukesha WI 53188-5318 | |
| (262) 547-1877 | |
| Not Available |
| Full Name | Ag Perio Llc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 2316 N Grandview Blvd, Waukesha, Wisconsin |
| Authorized Official Name and Position | Lisa A Garcia (OFFICE MANAGER) |
| Authorized Official Contact | 2625471877 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ag Perio Llc 2316 N Grandview Blvd Waukesha WI 53188-1602 Ph: (262) 547-1877 | Ag Perio Llc 2316 N Grandview Blvd Waukesha WI 53188-5318 Ph: (262) 547-1877 |
| NPI Number | 1508530247 |
|---|---|
| Provider Enumeration Date | 08/05/2021 |
| Last Update Date | 08/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508530247 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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