| Idental Llc | |
|
1320 S Green Bay Rd Mt Pleasant WI 53406-4406 | |
| (847) 561-1424 | |
| Not Available |
| Full Name | Idental Llc |
|---|---|
| Speciality | Dentist |
| Location | 1320 S Green Bay Rd, Mt Pleasant, Wisconsin |
| Authorized Official Name and Position | Vivek Vasudeva (CO-CEO) |
| Authorized Official Contact | 8475611424 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Idental Llc 1320 S Green Bay Rd Mt Pleasant WI 53406-4406 Ph: () - | Idental Llc 1320 S Green Bay Rd Mt Pleasant WI 53406-4406 Ph: (847) 561-1424 |
| NPI Number | 1861867947 |
|---|---|
| Provider Enumeration Date | 12/01/2015 |
| Last Update Date | 12/01/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861867947 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
Sweet Smiles Mt. Pleasant Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1515 S Green Bay Rd, Mt Pleasant, WI 53406 Phone: 262-672-2393 | |
Paramount Pediatric Dentistry Of Racine Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5820 Washington Ave, Mt Pleasant, WI 53406 Phone: 262-770-5848 Fax: 262-770-5751 |