| Barrett D. Straub Dds, Sc | |
|
1349 W Grand Ave Port Washington WI 53074-2043 | |
| (262) 284-5505 | |
| (262) 284-5198 |
| Full Name | Barrett D. Straub Dds, Sc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1349 W Grand Ave, Port Washington, Wisconsin |
| Authorized Official Name and Position | Barrett D Straub (DOCTOR/OWNER) |
| Authorized Official Contact | 2622845505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Barrett D. Straub Dds, Sc 1349 W Grand Ave Port Washington WI 53074-2043 Ph: (262) 284-5505 | Barrett D. Straub Dds, Sc 1349 W Grand Ave Port Washington WI 53074-2043 Ph: (262) 284-5505 |
| NPI Number | 1184118416 |
|---|---|
| Provider Enumeration Date | 06/20/2018 |
| Last Update Date | 06/20/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184118416 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 5716 (Wisconsin) | Primary |
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