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1845 N Farwell Ave Suite 105 Milwaukee WI 53202-1793 | |
| (414) 276-4455 | |
| (414) 276-6898 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1845 N Farwell Ave, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Frank Galka (OWNER) |
| Authorized Official Contact | 4142764455 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1845 N Farwell Ave Suite 105 Milwaukee WI 53202-1793 Ph: (414) 276-4455 | 1845 N Farwell Ave Suite 105 Milwaukee WI 53202-1793 Ph: (414) 276-4455 |
| NPI Number | 1780040618 |
|---|---|
| Provider Enumeration Date | 01/07/2016 |
| Last Update Date | 01/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780040618 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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