| Consumer Dental Associates | |
|
5542 W Fond Du Lac Ave Milwaukee WI 53216-1200 | |
| (414) 464-1070 | |
| (414) 464-3797 |
| Full Name | Consumer Dental Associates |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5542 W Fond Du Lac Ave, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Sham S Chandok (DENTIST) |
| Authorized Official Contact | 4143787971 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Consumer Dental Associates 5542 W Fond Du Lac Ave Milwaukee WI 53216-1200 Ph: (414) 464-1070 | Consumer Dental Associates 5542 W Fond Du Lac Ave Milwaukee WI 53216-1200 Ph: (414) 464-1070 |
| NPI Number | 1235541236 |
|---|---|
| Provider Enumeration Date | 05/24/2014 |
| Last Update Date | 06/16/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235541236 | NPI | - | NPPES |
| 1093974321 | Other | WI | PROVIDER NPI NUMBER |
| 1962569012 | Other | WI | PROVIDER NPI NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3107-15 (Wisconsin) | Primary |
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