| Elkhorn Family Dentistry Llc | |
|
1525 Fairway Ln Elkhorn WI 53121-5000 | |
| (262) 723-3296 | |
| (262) 723-2556 |
| Full Name | Elkhorn Family Dentistry Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1525 Fairway Ln, Elkhorn, Wisconsin |
| Authorized Official Name and Position | Genie B Kuble (ACCESS MANAGER) |
| Authorized Official Contact | 9204500157 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elkhorn Family Dentistry Llc 1525 Fairway Ln Elkhorn WI 53121-5000 Ph: (262) 723-3296 | Elkhorn Family Dentistry Llc 1525 Fairway Ln Elkhorn WI 53121-5000 Ph: (262) 723-3296 |
| NPI Number | 1700453719 |
|---|---|
| Provider Enumeration Date | 06/08/2021 |
| Last Update Date | 06/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700453719 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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