| Brookfield Dental Center Llc | |
|
17585 W North Ave Ste 210 Brookfield WI 53045-4365 | |
| (262) 784-4222 | |
| Not Available |
| Full Name | Brookfield Dental Center Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 17585 W North Ave Ste 210, Brookfield, Wisconsin |
| Authorized Official Name and Position | Tammy Kevin (MANAGER) |
| Authorized Official Contact | 2628730510 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brookfield Dental Center Llc 920 Indian Spring Dr Delafield WI 53018-2242 Ph: (262) 646-2771 | Brookfield Dental Center Llc 17585 W North Ave Ste 210 Brookfield WI 53045-4365 Ph: (262) 784-4222 |
| NPI Number | 1649742370 |
|---|---|
| Provider Enumeration Date | 12/19/2018 |
| Last Update Date | 12/19/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649742370 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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