| Dr. Ralph A. Pamenter S.c. | |
|
17535 W North Ave Brookfield WI 53045-4343 | |
| (262) 786-4119 | |
| (262) 786-0674 |
| Full Name | Dr. Ralph A. Pamenter S.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 17535 W North Ave, Brookfield, Wisconsin |
| Authorized Official Name and Position | Ralph A Pamenter (PRESIDENT) |
| Authorized Official Contact | 2627864119 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Ralph A. Pamenter S.c. 17535 W North Ave Brookfield WI 53045-4343 Ph: (262) 786-4119 | Dr. Ralph A. Pamenter S.c. 17535 W North Ave Brookfield WI 53045-4343 Ph: (262) 786-4119 |
| NPI Number | 1780601336 |
|---|---|
| Provider Enumeration Date | 07/17/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780601336 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 5000813G (Wisconsin) | Primary |
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