| Portwashingtonctd1 Llc | |
|
222 N Franklin St Port Washington WI 53074-1903 | |
| (262) 235-4525 | |
| Not Available |
| Full Name | Portwashingtonctd1 Llc |
|---|---|
| Speciality | Dentist |
| Location | 222 N Franklin St, Port Washington, Wisconsin |
| Authorized Official Name and Position | Mitchell T Weiland (ASSISTANT CONTROLLER) |
| Authorized Official Contact | 6083430818 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Portwashingtonctd1 Llc 8025 Excelsior Dr Madison WI 53717-1900 Ph: (608) 343-0818 | Portwashingtonctd1 Llc 222 N Franklin St Port Washington WI 53074-1903 Ph: (262) 235-4525 |
| NPI Number | 1992396360 |
|---|---|
| Provider Enumeration Date | 01/28/2021 |
| Last Update Date | 01/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992396360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
Pearl32 Family Dentistry Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1032 S Spring St, Port Washington, WI 53074 Phone: 703-901-9596 | |
Barrett D. Straub Dds, Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1349 W Grand Ave, Port Washington, WI 53074 Phone: 262-284-5505 Fax: 262-284-5198 | |
Steven J. Carini Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 N Franklin St, Port Washington, WI 53074 Phone: 262-284-2662 Fax: 262-284-5224 | |
Joshua E Leute Dds Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1317 W Grand Avenue, Port Washington, WI 53074 Phone: 262-284-5884 Fax: 262-284-1840 | |
Port Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 N Wisconsin St, Port Washington, WI 53074 Phone: 262-284-9767 Fax: 262-284-5228 |