| Milwaukee Dental Group Sc | |
|
5542 W Fond Du Lac Ave Milwaukee WI 53216-1200 | |
| (414) 378-7971 | |
| Not Available |
| Full Name | Milwaukee Dental Group Sc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5542 W Fond Du Lac Ave, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Sham Chandok (OWNER) |
| Authorized Official Contact | 4143787971 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Milwaukee Dental Group Sc 5542 W Fond Du Lac Ave Milwaukee WI 53216-1200 Ph: (414) 378-7971 | Milwaukee Dental Group Sc 5542 W Fond Du Lac Ave Milwaukee WI 53216-1200 Ph: (414) 378-7971 |
| NPI Number | 1457808487 |
|---|---|
| Provider Enumeration Date | 09/07/2016 |
| Last Update Date | 09/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457808487 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3107-15 (Wisconsin) | Primary |
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