| Nesic Dentl Lounge | |
|
N71 W13040 W Appleton Avenue Suite 200 Menomonee Falls WI 53051 | |
| (815) 830-5729 | |
| Not Available |
| Full Name | Nesic Dentl Lounge |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | N71 W13040 W Appleton Avenue, Menomonee Falls, Wisconsin |
| Authorized Official Name and Position | Emily Rose Nesic (OWNER) |
| Authorized Official Contact | 8158305729 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nesic Dentl Lounge 570 Southwind Dr Unit 207 Lake Geneva WI 53147-4713 Ph: (815) 830-5729 | Nesic Dentl Lounge N71 W13040 W Appleton Avenue Suite 200 Menomonee Falls WI 53051 Ph: (815) 830-5729 |
| NPI Number | 1164234290 |
|---|---|
| Provider Enumeration Date | 01/24/2025 |
| Last Update Date | 01/24/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164234290 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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