Phillip L. Bangle, D.d.s. S.c. | |
1425 Summit Ave Suite 200 Waukesha WI 53188-3200 | |
(262) 542-1662 | |
Not Available |
Full Name | Phillip L. Bangle, D.d.s. S.c. |
---|---|
Speciality | Dentist - General Practice |
Location | 1425 Summit Ave, Waukesha, Wisconsin |
Authorized Official Name and Position | Phillip L. Bangle (DENTIST) |
Authorized Official Contact | 2625421662 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Phillip L. Bangle, D.d.s. S.c. 1425 Summit Ave Suite 200 Waukesha WI 53188-3200 Ph: (262) 542-1662 | Phillip L. Bangle, D.d.s. S.c. 1425 Summit Ave Suite 200 Waukesha WI 53188-3200 Ph: (262) 542-1662 |
NPI Number | 1548375116 |
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Provider Enumeration Date | 08/21/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548375116 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 2318 (Wisconsin) | Primary |
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