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9052 N Deerbrook Trl Milwaukee WI 53223-2474 | |
(414) 357-2040 | |
(414) 354-3177 |
Full Name | |
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Speciality | Dentist |
Location | 9052 N Deerbrook Trl, Milwaukee, Wisconsin |
Authorized Official Name and Position | Peter Young (VP) |
Authorized Official Contact | 4143572040 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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9052 N Deerbrook Trl Milwaukee WI 53223-2474 Ph: (414) 357-2040 | 9052 N Deerbrook Trl Milwaukee WI 53223-2474 Ph: (414) 357-2040 |
NPI Number | 1467582833 |
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Provider Enumeration Date | 03/06/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1467582833 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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