| |
N85 W16186 Appleton Ave Menomonee Falls WI 53051 | |
(262) 253-9797 | |
(262) 253-4895 |
Full Name | |
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Speciality | Dentist |
Location | N85 W16186 Appleton Ave, Menomonee Falls, Wisconsin |
Authorized Official Name and Position | Judith L Remshak (BUSINESS MANAGER) |
Authorized Official Contact | 2622539797 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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N85 W16186 Appleton Ave Menomonee Falls WI 53051 Ph: (262) 253-9797 | N85 W16186 Appleton Ave Menomonee Falls WI 53051 Ph: (262) 253-9797 |
NPI Number | 1700952942 |
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Provider Enumeration Date | 11/28/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1700952942 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | (* (Not Available)) | Primary |
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