| Endodontic Associates, Ltd. | |
|
12660 W North Ave Building D Brookfield WI 53005-4633 | |
| (262) 432-1600 | |
| (262) 432-0227 |
| Full Name | Endodontic Associates, Ltd. |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 12660 W North Ave, Brookfield, Wisconsin |
| Authorized Official Name and Position | Todd Keith Engel (SECRETARY TO BOARD) |
| Authorized Official Contact | 2624321600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Endodontic Associates, Ltd. 12660 W North Ave Building D Brookfield WI 53005-4633 Ph: (262) 432-1600 | Endodontic Associates, Ltd. 12660 W North Ave Building D Brookfield WI 53005-4633 Ph: (262) 432-1600 |
| NPI Number | 1417002452 |
|---|---|
| Provider Enumeration Date | 01/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417002452 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (Wisconsin) | Primary |
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