Market Place Dental Group | |
8651 S Market Pl Oak Creek WI 53154-3523 | |
(414) 764-2110 | |
(414) 764-5360 |
Full Name | Market Place Dental Group |
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Speciality | Dentist |
Location | 8651 S Market Pl, Oak Creek, Wisconsin |
Authorized Official Name and Position | Bao Chau Nguyen (DENTIST/OWNER) |
Authorized Official Contact | 4147642110 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Market Place Dental Group 8651 S Market Pl Oak Creek WI 53154-3523 Ph: (414) 764-2110 | Market Place Dental Group 8651 S Market Pl Oak Creek WI 53154-3523 Ph: (414) 764-2110 |
NPI Number | 1972789923 |
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Provider Enumeration Date | 01/20/2008 |
Last Update Date | 01/20/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972789923 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 5362 (Wisconsin) | Primary |
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