King Family Dentistry | |
6520 W Layton Ave Greenfield WI 53220-4500 | |
(414) 282-5560 | |
(414) 282-6790 |
Full Name | King Family Dentistry |
---|---|
Speciality | Dentist - General Practice |
Location | 6520 W Layton Ave, Greenfield, Wisconsin |
Authorized Official Name and Position | Lynette Marie Laur (OFFICE MANAGER) |
Authorized Official Contact | 4142825560 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
King Family Dentistry 6520 W Layton Ave Greenfield WI 53220-4500 Ph: (414) 282-5560 | King Family Dentistry 6520 W Layton Ave Greenfield WI 53220-4500 Ph: (414) 282-5560 |
NPI Number | 1083929814 |
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Provider Enumeration Date | 08/17/2010 |
Last Update Date | 08/17/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083929814 | NPI | - | NPPES |
5001352-12 | Other | WI | DENTIST |
5258-15 | Other | WI | DENTIST |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 5258-15 (Wisconsin) | Primary |
1223G0001X | Dentist - General Practice | 5001352-12 (Wisconsin) | Secondary |
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