| Dej Dental | |
|
N4w22370 Bluemound Rd Ste 103 Waukesha WI 53186-1683 | |
| (262) 875-3304 | |
| Not Available |
| Full Name | Dej Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | N4w22370 Bluemound Rd Ste 103, Waukesha, Wisconsin |
| Authorized Official Name and Position | Andrea J Emmerich (OWNER/DENTIST) |
| Authorized Official Contact | 2628753304 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dej Dental N4w22370 Bluemound Rd Ste 103 Waukesha WI 53186-1683 Ph: (262) 875-3304 | Dej Dental N4w22370 Bluemound Rd Ste 103 Waukesha WI 53186-1683 Ph: (262) 875-3304 |
| NPI Number | 1093437360 |
|---|---|
| Provider Enumeration Date | 09/14/2022 |
| Last Update Date | 09/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093437360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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