| Fresh Coast Dental Llc | |
|
6790 W Layton Ave Ste C Greenfield WI 53220-4571 | |
| (414) 687-9831 | |
| Not Available |
| Full Name | Fresh Coast Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6790 W Layton Ave Ste C, Greenfield, Wisconsin |
| Authorized Official Name and Position | Ahmed Alsallami (OWNER/DENTIST) |
| Authorized Official Contact | 4146879831 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fresh Coast Dental Llc 6790 W Layton Ave Ste C Greenfield WI 53220-4571 Ph: (414) 687-9831 | Fresh Coast Dental Llc 6790 W Layton Ave Ste C Greenfield WI 53220-4571 Ph: (414) 687-9831 |
| NPI Number | 1780393728 |
|---|---|
| Provider Enumeration Date | 11/17/2022 |
| Last Update Date | 11/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780393728 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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