| Belle City Family Dentistry, S.c. | |
|
1300 S Green Bay Rd Suite 206 Racine WI 53406 | |
| (262) 633-4000 | |
| Not Available |
| Full Name | Belle City Family Dentistry, S.c. |
|---|---|
| Speciality | Dentist |
| Location | 1300 S Green Bay Rd, Racine, Wisconsin |
| Authorized Official Name and Position | Kimberly Olesen (PRESIDENT) |
| Authorized Official Contact | 2624975374 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Belle City Family Dentistry, S.c. 1300 S Green Bay Rd Suite 206 Racine WI 53406 Ph: (262) 633-4000 | Belle City Family Dentistry, S.c. 1300 S Green Bay Rd Suite 206 Racine WI 53406 Ph: (262) 633-4000 |
| NPI Number | 1023565686 |
|---|---|
| Provider Enumeration Date | 09/01/2016 |
| Last Update Date | 09/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023565686 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 7238-15 (Wisconsin) | Primary |
| 1223P0700X | Dentist - Prosthodontics | 5001949-015 (Wisconsin) | Secondary |
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