| Children's Dentistry Of Kenosha Llc | |
|
9020 76th St Ste A Pleasant Prairie WI 53158-1976 | |
| (262) 577-5237 | |
| Not Available |
| Full Name | Children's Dentistry Of Kenosha Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 9020 76th St Ste A, Pleasant Prairie, Wisconsin |
| Authorized Official Name and Position | Nicholas Valeri (PRESIDENT) |
| Authorized Official Contact | 2624966196 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Dentistry Of Kenosha Llc 9020 76th St Ste A Pleasant Prairie WI 53158-1976 Ph: (262) 577-5237 | Children's Dentistry Of Kenosha Llc 9020 76th St Ste A Pleasant Prairie WI 53158-1976 Ph: (262) 577-5237 |
| NPI Number | 1699402719 |
|---|---|
| Provider Enumeration Date | 08/08/2022 |
| Last Update Date | 08/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699402719 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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