| Ltc Dental Iii Llc | |
|
1314 S 1st St # 276 Milwaukee WI 53204-2405 | |
| (888) 970-3400 | |
| (888) 456-3812 |
| Full Name | Ltc Dental Iii Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1314 S 1st St # 276, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Tara Robinson (OWNER) |
| Authorized Official Contact | 4073753003 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ltc Dental Iii Llc 2314 S Route 59 Ste 384 Plainfield IL 60586-7756 Ph: (888) 970-3400 | Ltc Dental Iii Llc 1314 S 1st St # 276 Milwaukee WI 53204-2405 Ph: (888) 970-3400 |
| NPI Number | 1467169409 |
|---|---|
| Provider Enumeration Date | 10/31/2022 |
| Last Update Date | 04/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467169409 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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