| Caputo Dental Wi Sc | |
|
N28w23000 Roundy Dr Ste 100 Pewaukee WI 53072-7300 | |
| (262) 970-0111 | |
| Not Available |
| Full Name | Caputo Dental Wi Sc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | N28w23000 Roundy Dr Ste 100, Pewaukee, Wisconsin |
| Authorized Official Name and Position | William A Caputo (OWNER AND SOLE MEMBER) |
| Authorized Official Contact | 2245950942 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Caputo Dental Wi Sc N28w23000 Roundy Dr Ste 100 Pewaukee WI 53072-7300 Ph: (262) 970-0111 | Caputo Dental Wi Sc N28w23000 Roundy Dr Ste 100 Pewaukee WI 53072-7300 Ph: (262) 970-0111 |
| NPI Number | 1598400681 |
|---|---|
| Provider Enumeration Date | 05/03/2022 |
| Last Update Date | 05/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598400681 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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