| Marion Family Dental Clinic | |
|
4302 N 76th Street Milwaukee WI 53222 | |
| (414) 462-9420 | |
| Not Available |
| Full Name | Marion Family Dental Clinic |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4302 N 76th Street, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Thomas Mccarthy (OWNER) |
| Authorized Official Contact | 2627864819 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marion Family Dental Clinic 4302 N 7th Street Milwaukee WI 53222 Ph: (414) 462-9420 | Marion Family Dental Clinic 4302 N 76th Street Milwaukee WI 53222 Ph: (414) 462-9420 |
| NPI Number | 1487811188 |
|---|---|
| Provider Enumeration Date | 05/20/2008 |
| Last Update Date | 05/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487811188 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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