Proven Dental Llc | |
1700 Coral Dr Waukesha WI 53186-1483 | |
(262) 650-3000 | |
(262) 650-3103 |
Full Name | Proven Dental Llc |
---|---|
Speciality | Clinic/center - Dental |
Location | 1700 Coral Dr, Waukesha, Wisconsin |
Authorized Official Name and Position | James Francis Murphy (OWNER/DENTIST) |
Authorized Official Contact | 2626503000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Proven Dental Llc 1700 Coral Dr Waukesha WI 53186-1483 Ph: (262) 650-3000 | Proven Dental Llc 1700 Coral Dr Waukesha WI 53186-1483 Ph: (262) 650-3000 |
NPI Number | 1477952687 |
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Provider Enumeration Date | 08/14/2014 |
Last Update Date | 02/23/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477952687 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 4761-15 (Wisconsin) | Primary |
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