| Northridge Dental Center S.c. | |
|
7906 N 76th St Milwaukee WI 53223-3916 | |
| (414) 354-9020 | |
| Not Available |
| Full Name | Northridge Dental Center S.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 7906 N 76th St, Milwaukee, Wisconsin |
| Authorized Official Name and Position | John A Fitch (PRESIDENT) |
| Authorized Official Contact | 4143549020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northridge Dental Center S.c. 2327 W Apple Tree Rd Glendale WI 53209-3311 Ph: (414) 352-3839 | Northridge Dental Center S.c. 7906 N 76th St Milwaukee WI 53223-3916 Ph: (414) 354-9020 |
| NPI Number | 1730184557 |
|---|---|
| Provider Enumeration Date | 06/17/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730184557 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 5001515-015 (Wisconsin) | Primary |
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