| Integrative Dental Solutions Llc | |
|
N35w23770 Capitol Dr Ste E Pewaukee WI 53072-2639 | |
| (262) 691-4555 | |
| (262) 691-4579 |
| Full Name | Integrative Dental Solutions Llc |
|---|---|
| Speciality | Durable Medical Equipment & Medical Supplies - Customized Equipment |
| Location | N35w23770 Capitol Dr Ste E, Pewaukee, Wisconsin |
| Authorized Official Name and Position | Supriya Shetty (OWNER) |
| Authorized Official Contact | 2626914555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrative Dental Solutions Llc N35w23770 Capitol Dr Ste E Pewaukee WI 53072-2639 Ph: (262) 691-4555 | Integrative Dental Solutions Llc N35w23770 Capitol Dr Ste E Pewaukee WI 53072-2639 Ph: (262) 691-4555 |
| NPI Number | 1316315351 |
|---|---|
| Provider Enumeration Date | 09/08/2015 |
| Last Update Date | 09/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316315351 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Primary |
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