Mequon Deer Dental, Llc | |
7400 W Brown Deer Rd Milwaukee WI 53223-2078 | |
(414) 354-1160 | |
Not Available |
Full Name | Mequon Deer Dental, Llc |
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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 |
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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 |
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Provider Enumeration Date | 06/15/2020 |
Last Update Date | 06/15/2020 |
Identifier | Type | State | Issuer |
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1164047130 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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