Oakbrook Dental Group Sc | |
1201 Oak Street West Bend WI 53095 | |
(262) 335-0822 | |
(262) 335-0814 |
Full Name | Oakbrook Dental Group Sc |
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Speciality | Dentist |
Location | 1201 Oak Street, West Bend, Wisconsin |
Authorized Official Name and Position | Timothy J Merry (PRESIDENT) |
Authorized Official Contact | 2623380022 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Oakbrook Dental Group Sc 1201 Oak Street West Bend WI 53095 Ph: (262) 335-0822 | Oakbrook Dental Group Sc 1201 Oak Street West Bend WI 53095 Ph: (262) 335-0822 |
NPI Number | 1477705622 |
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Provider Enumeration Date | 10/21/2008 |
Last Update Date | 10/21/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477705622 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
Oakbrook Dental S.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1201 Oak St Ste P, West Bend, WI 53095 Phone: 262-335-0822 Fax: 262-335-0814 | |
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