| Bay View Dental Care, Llp | |
|
3380 S Kinnickinnic Ave Milwaukee WI 53207-3159 | |
| (414) 482-2090 | |
| Not Available |
| Full Name | Bay View Dental Care, Llp |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3380 S Kinnickinnic Ave, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Douglas Persich (PARTNER) |
| Authorized Official Contact | 4144822090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bay View Dental Care, Llp 3380 S Kinnickinnic Ave Milwaukee WI 53207-3159 Ph: (414) 482-2090 | Bay View Dental Care, Llp 3380 S Kinnickinnic Ave Milwaukee WI 53207-3159 Ph: (414) 482-2090 |
| NPI Number | 1821173188 |
|---|---|
| Provider Enumeration Date | 10/26/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821173188 | NPI | - | NPPES |
| 38364400 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5001644 (Wisconsin) | Primary |
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