| Kittleson & Kittleson, S.c. | |
|
3527 E Squire Ave Cudahy WI 53110-1426 | |
| (414) 744-3500 | |
| Not Available |
| Full Name | Kittleson & Kittleson, S.c. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 3527 E Squire Ave, Cudahy, Wisconsin |
| Authorized Official Name and Position | John Clayton Kittleson (PRESIDENT) |
| Authorized Official Contact | 4147443500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kittleson & Kittleson, S.c. 3527 E Squire Ave Cudahy WI 53110-1426 Ph: (414) 744-3500 | Kittleson & Kittleson, S.c. 3527 E Squire Ave Cudahy WI 53110-1426 Ph: (414) 744-3500 |
| NPI Number | 1124333273 |
|---|---|
| Provider Enumeration Date | 08/13/2010 |
| Last Update Date | 08/13/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124333273 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 4648-015 (Wisconsin) | Primary |
Cudahy Dental Associates, S.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6217 S Packard Ave, Cudahy, WI 53110 Phone: 414-764-5550 Fax: 414-764-8175 | |
Deerwood Orthodontics Cudahy Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3527 E Squire Ave, Cudahy, WI 53110 Phone: 414-744-3500 |