| Mequon Deer Dental, Llc | |
|
7400 W Brown Deer Rd Milwaukee WI 53223-2078 | |
| (414) 354-1160 | |
| Not Available |
| Full Name | Mequon Deer Dental, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 7400 W Brown Deer Rd, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Olga Grenova (DIR OF ACCOUNTING) |
| Authorized Official Contact | 6088332213 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mequon Deer Dental, Llc 8025 Excelsior Dr Madison WI 53717-1900 Ph: () - | Mequon Deer Dental, Llc 7400 W Brown Deer Rd Milwaukee WI 53223-2078 Ph: (414) 354-1160 |
| NPI Number | 1164047130 |
|---|---|
| Provider Enumeration Date | 06/15/2020 |
| Last Update Date | 06/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164047130 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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