| Greenfield Dental Corp | |
|
2387 S 102nd St West Allis WI 53227-2146 | |
| (414) 329-1171 | |
| (414) 329-1018 |
| Full Name | Greenfield Dental Corp |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2387 S 102nd St, West Allis, Wisconsin |
| Authorized Official Name and Position | Hai Zhang (PRESIDENT) |
| Authorized Official Contact | 4143291171 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greenfield Dental Corp 2387 S 102nd St West Allis WI 53227-2146 Ph: (414) 329-1171 | Greenfield Dental Corp 2387 S 102nd St West Allis WI 53227-2146 Ph: (414) 329-1171 |
| NPI Number | 1255633434 |
|---|---|
| Provider Enumeration Date | 11/22/2010 |
| Last Update Date | 11/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255633434 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5482-15 (Wisconsin) | Primary |
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