| Burleigh Dental, Sc | |
|
7623 W Burleigh St Milwaukee WI 53222-5001 | |
| (414) 444-4334 | |
| (414) 444-3222 |
| Full Name | Burleigh Dental, Sc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 7623 W Burleigh St, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Michael Donohoo (PRESIDENT) |
| Authorized Official Contact | 4144444334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Burleigh Dental, Sc 7623 W Burleigh St Milwaukee WI 53222-5001 Ph: (414) 444-4334 | Burleigh Dental, Sc 7623 W Burleigh St Milwaukee WI 53222-5001 Ph: (414) 444-4334 |
| NPI Number | 1437152493 |
|---|---|
| Provider Enumeration Date | 05/24/2005 |
| Last Update Date | 09/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437152493 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 2503 (Wisconsin) | Primary |
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