| Parkway Dental, S.c. | |
|
2901 W Kinnickinnic River Pkwy Ste 104 Milwaukee WI 53215-3660 | |
| (414) 649-3510 | |
| (414) 385-2854 |
| Full Name | Parkway Dental, S.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2901 W Kinnickinnic River Pkwy Ste 104, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Thomas E Kielma (OWNER) |
| Authorized Official Contact | 4146493510 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Parkway Dental, S.c. 2901 W Kinnickinnic River Pkwy Ste 104 Milwaukee WI 53215-3660 Ph: (414) 649-3510 | Parkway Dental, S.c. 2901 W Kinnickinnic River Pkwy Ste 104 Milwaukee WI 53215-3660 Ph: (414) 649-3510 |
| NPI Number | 1578856225 |
|---|---|
| Provider Enumeration Date | 05/26/2011 |
| Last Update Date | 05/26/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578856225 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5001656 (Wisconsin) | Primary |
| 1223G0001X | Dentist - General Practice | 5003 (Wisconsin) | Secondary |
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