| Greenfield Optimal Dental Care Llc | |
|
3670 S 108th St Greenfield WI 53228-1206 | |
| (414) 837-5989 | |
| (414) 837-5992 |
| Full Name | Greenfield Optimal Dental Care Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3670 S 108th St, Greenfield, Wisconsin |
| Authorized Official Name and Position | Emmanuel Igwike (MANAGER/PART OWNER) |
| Authorized Official Contact | 4148375989 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greenfield Optimal Dental Care Llc 3670 S. 108th Street Greenfield WI 53228 Ph: (414) 837-5989 | Greenfield Optimal Dental Care Llc 3670 S 108th St Greenfield WI 53228-1206 Ph: (414) 837-5989 |
| NPI Number | 1376930990 |
|---|---|
| Provider Enumeration Date | 04/21/2015 |
| Last Update Date | 04/21/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376930990 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5519 (Wisconsin) | Primary |
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