| Mequonctd1 Llc | |
|
7604 W Mequon Rd Mequon WI 53097-3215 | |
| (262) 242-8929 | |
| Not Available |
| Full Name | Mequonctd1 Llc |
|---|---|
| Speciality | Dentist |
| Location | 7604 W Mequon Rd, Mequon, Wisconsin |
| Authorized Official Name and Position | Mitchell Weiland (ASSISTANT CONTROLLER) |
| Authorized Official Contact | 6083430818 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mequonctd1 Llc 8025 Excelsior Dr Ste 103 Madison WI 53717-2902 Ph: (608) 343-0818 | Mequonctd1 Llc 7604 W Mequon Rd Mequon WI 53097-3215 Ph: (262) 242-8929 |
| NPI Number | 1588249148 |
|---|---|
| Provider Enumeration Date | 03/16/2021 |
| Last Update Date | 03/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588249148 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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North Shore Dental Group S.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2601 W Mequon Rd, Mequon, WI 53092 Phone: 262-242-1180 Fax: 262-242-0930 | |
Comprehensive Dental Services Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10521 N Port Washington Rd, Suite 200, Mequon, WI 53092 Phone: 262-241-2060 Fax: 262-241-2064 | |
Wisconsin Dental Group, S.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6048 W Mequon Rd Ste 200, Mequon, WI 53092 Phone: 414-216-9211 Fax: 414-216-9216 | |
Northshore Smiles, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10303 N Port Washington Rd Ste 103a, Mequon, WI 53092 Phone: 262-240-0405 | |
Brent J Martin Dds Ms Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1345 W Towne Square Rd, Mequon, WI 53092 Phone: 262-241-3019 Fax: 262-241-3027 | |
East Towne Dental Associated Belgium Family Dental Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11501 N Prot Washington Rd, Mequon, WI 53092 Phone: 262-241-8880 Fax: 262-241-5250 |