| Emergency Dental Of Milwaukee, Llc | |
|
1469 S 70th St West Allis WI 53214-4814 | |
| (414) 383-5833 | |
| (414) 383-0233 |
| Full Name | Emergency Dental Of Milwaukee, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1469 S 70th St, West Allis, Wisconsin |
| Authorized Official Name and Position | Roberto Monteagudo (CLINICAL DIRECTOR/PROVIDER) |
| Authorized Official Contact | 4143835833 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Emergency Dental Of Milwaukee, Llc 1469 S 70th St West Allis WI 53214-4814 Ph: (414) 383-5833 | Emergency Dental Of Milwaukee, Llc 1469 S 70th St West Allis WI 53214-4814 Ph: (414) 383-5833 |
| NPI Number | 1295185981 |
|---|---|
| Provider Enumeration Date | 06/14/2016 |
| Last Update Date | 06/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295185981 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4186 (Wisconsin) | Primary |
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