| Forwarddental New Berlin | |
|
15100 Library Ln New Berlin WI 53151-5291 | |
| (262) 641-0056 | |
| (262) 641-0058 |
| Full Name | Forwarddental New Berlin |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 15100 Library Ln, New Berlin, Wisconsin |
| Authorized Official Name and Position | Celia Hayes (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175402100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Forwarddental New Berlin 15100 Library Ln New Berlin WI 53151-5291 Ph: (262) 641-0056 | Forwarddental New Berlin 15100 Library Ln New Berlin WI 53151-5291 Ph: (262) 641-0056 |
| NPI Number | 1952431090 |
|---|---|
| Provider Enumeration Date | 03/07/2007 |
| Last Update Date | 03/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952431090 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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