| Brookfield Dentistry Sc | |
|
13905 W Burleigh Rd Brookfield WI 53005-3036 | |
| (262) 786-8440 | |
| Not Available |
| Full Name | Brookfield Dentistry Sc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 13905 W Burleigh Rd, Brookfield, Wisconsin |
| Authorized Official Name and Position | Darryl Stich (PRESIDENT) |
| Authorized Official Contact | 2627868440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brookfield Dentistry Sc 13905 W Burleigh Rd Brookfield WI 53005-3036 Ph: (262) 786-8440 | Brookfield Dentistry Sc 13905 W Burleigh Rd Brookfield WI 53005-3036 Ph: (262) 786-8440 |
| NPI Number | 1083829881 |
|---|---|
| Provider Enumeration Date | 05/14/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083829881 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5416-015 (Wisconsin) | Primary |
| 1223G0001X | Dentist - General Practice | 2339 (Wisconsin) | Secondary |
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