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8422 W Capitol Dr Milwaukee WI 53222-1825 | |
(414) 461-4140 | |
(414) 461-5033 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 8422 W Capitol Dr, Milwaukee, Wisconsin |
Authorized Official Name and Position | Paramjit Singh Sidhu (OWNER) |
Authorized Official Contact | 4144614140 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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8422 W Capitol Dr Milwaukee WI 53222-1825 Ph: (414) 461-4140 | 8422 W Capitol Dr Milwaukee WI 53222-1825 Ph: (414) 461-4140 |
NPI Number | 1457500043 |
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Provider Enumeration Date | 09/18/2008 |
Last Update Date | 09/18/2008 |
Identifier | Type | State | Issuer |
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1457500043 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 2560 (Wisconsin) | Primary |
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