Keystone West Allis Llc West Allis Dental Care | |
7130 W Greenfield Ave West Allis WI 53214-4708 | |
(414) 258-2500 | |
Not Available |
Full Name | Keystone West Allis Llc West Allis Dental Care |
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Speciality | Clinic/center - Dental |
Location | 7130 W Greenfield Ave, West Allis, Wisconsin |
Authorized Official Name and Position | Tammy Kevin (OPERATIONS MANAGER) |
Authorized Official Contact | 2628730510 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Keystone West Allis Llc West Allis Dental Care Po Box 180163 Delafield WI 53018-0163 Ph: () - | Keystone West Allis Llc West Allis Dental Care 7130 W Greenfield Ave West Allis WI 53214-4708 Ph: (414) 258-2500 |
NPI Number | 1588297584 |
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Provider Enumeration Date | 02/18/2020 |
Last Update Date | 02/18/2020 |
Identifier | Type | State | Issuer |
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1588297584 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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