| Major Dental Clinics Of Milwaukee S.c. | |
|
788 N Jefferson St Suite 880 Milwaukee WI 53202-3718 | |
| (414) 276-4262 | |
| (414) 276-4269 |
| Full Name | Major Dental Clinics Of Milwaukee S.c. |
|---|---|
| Speciality | Dentist |
| Location | 788 N Jefferson St, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Daniel Domagala (PRESIDENT) |
| Authorized Official Contact | 4142764262 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Major Dental Clinics Of Milwaukee S.c. 788 N Jefferson St Suite 880 Milwaukee WI 53202-3718 Ph: (414) 276-4262 | Major Dental Clinics Of Milwaukee S.c. 788 N Jefferson St Suite 880 Milwaukee WI 53202-3718 Ph: (414) 276-4262 |
| NPI Number | 1710330725 |
|---|---|
| Provider Enumeration Date | 07/14/2016 |
| Last Update Date | 07/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710330725 | NPI | - | NPPES |
| 6468 | Other | WI | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6468 (Wisconsin) | Primary |
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