Jm Dental Llc | |
17585 W North Ave Suite 240 Brookfield WI 53045-4365 | |
(262) 782-5141 | |
(262) 782-0656 |
Full Name | Jm Dental Llc |
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Speciality | Dentist |
Location | 17585 W North Ave, Brookfield, Wisconsin |
Authorized Official Name and Position | Mathias J Weber (SOLE MANAGING MEMBER) |
Authorized Official Contact | 2627825141 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Jm Dental Llc 17585 W North Ave Suite 240 Brookfield WI 53045-4365 Ph: (262) 782-5141 | Jm Dental Llc 17585 W North Ave Suite 240 Brookfield WI 53045-4365 Ph: (262) 782-5141 |
NPI Number | 1952647810 |
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Provider Enumeration Date | 12/21/2012 |
Last Update Date | 12/21/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952647810 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 4628-015 (Wisconsin) | Primary |
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