| Periodontics And Implant Dentistry, Llc | |
|
6754 Lindermann Ave Mount Pleasant WI 53406-5603 | |
| (262) 632-5455 | |
| (262) 632-2858 |
| Full Name | Periodontics And Implant Dentistry, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6754 Lindermann Ave, Mount Pleasant, Wisconsin |
| Authorized Official Name and Position | Christopher G Hutton (SOLE MEMBER) |
| Authorized Official Contact | 4143692091 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Periodontics And Implant Dentistry, Llc 6754 Lindermann Ave Mount Pleasant WI 53406-5603 Ph: (262) 632-5455 | Periodontics And Implant Dentistry, Llc 6754 Lindermann Ave Mount Pleasant WI 53406-5603 Ph: (262) 632-5455 |
| NPI Number | 1710431788 |
|---|---|
| Provider Enumeration Date | 08/08/2016 |
| Last Update Date | 08/08/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710431788 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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