| Dental Implant Institute Of Wisconsin | |
|
2323 S 109th St Suite 275 West Allis WI 53227-1909 | |
| (414) 321-7200 | |
| (414) 321-3232 |
| Full Name | Dental Implant Institute Of Wisconsin |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 2323 S 109th St, West Allis, Wisconsin |
| Authorized Official Name and Position | Ahmad Eslami (PRESIDENT) |
| Authorized Official Contact | 4143217200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Implant Institute Of Wisconsin 2323 S 109th St Suite 275 West Allis WI 53227-1909 Ph: (414) 321-7200 | Dental Implant Institute Of Wisconsin 2323 S 109th St Suite 275 West Allis WI 53227-1909 Ph: (414) 321-7200 |
| NPI Number | 1295930634 |
|---|---|
| Provider Enumeration Date | 06/17/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295930634 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 3218 (Wisconsin) | Primary |
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