| Gerald L Ignace Indian Dental Center, Llc | |
|
930 W Historic Mitchell St Milwaukee WI 53204-3533 | |
| (414) 389-9526 | |
| (414) 649-2711 |
| Full Name | Gerald L Ignace Indian Dental Center, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 930 W Historic Mitchell St, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Dandre Lashun Turner (BILLING SPECIALIST) |
| Authorized Official Contact | 4143165052 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gerald L Ignace Indian Dental Center, Llc 930 W Historic Mitchell St Milwaukee WI 53204-3533 Ph: (414) 389-9526 | Gerald L Ignace Indian Dental Center, Llc 930 W Historic Mitchell St Milwaukee WI 53204-3533 Ph: (414) 389-9526 |
| NPI Number | 1710498514 |
|---|---|
| Provider Enumeration Date | 10/19/2017 |
| Last Update Date | 10/19/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710498514 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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