| Dental 360 Oak Creek Llc | |
|
124 E Drexel Ave Oak Creek WI 53154-2123 | |
| (262) 533-8387 | |
| (262) 533-8402 |
| Full Name | Dental 360 Oak Creek Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 124 E Drexel Ave, Oak Creek, Wisconsin |
| Authorized Official Name and Position | Ivana Bueno (DIRECTOR) |
| Authorized Official Contact | 7737989382 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental 360 Oak Creek Llc 124 E Drexel Ave Oak Creek WI 53154-2123 Ph: () - | Dental 360 Oak Creek Llc 124 E Drexel Ave Oak Creek WI 53154-2123 Ph: (262) 533-8387 |
| NPI Number | 1518676857 |
|---|---|
| Provider Enumeration Date | 11/15/2022 |
| Last Update Date | 03/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518676857 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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