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4010 S Church Dr New Berlin WI 53151-5608 | |
| (563) 582-1448 | |
| (563) 552-1326 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4010 S Church Dr, New Berlin, Wisconsin |
| Authorized Official Name and Position | Emmy Montes (CBO SUPERVISOR) |
| Authorized Official Contact | 5635821448 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
40 Main St Ste 103 Dubuque IA 52001-7641 Ph: (563) 582-1448 | 4010 S Church Dr New Berlin WI 53151-5608 Ph: (563) 582-1448 |
| NPI Number | 1154817740 |
|---|---|
| Provider Enumeration Date | 07/06/2018 |
| Last Update Date | 07/29/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154817740 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Thomas J Volm Dds Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15738 W National Ave, New Berlin, WI 53151 Phone: 262-784-2110 Fax: 262-784-9451 | |
New Berlin Family Dentistry Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15430 W National Ave, New Berlin, WI 53151 Phone: 262-797-8303 | |
Willow Dental Group Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3333 S Sunnyslope Rd Ste 100, New Berlin, WI 53151 Phone: 262-505-1000 | |