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555 S 108th St West Allis WI 53214-1145 | |
| (414) 566-3725 | |
| (414) 566-3900 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 555 S 108th St, West Allis, Wisconsin |
| Authorized Official Name and Position | Robert L Poulsen (CFO) |
| Authorized Official Contact | 4145668400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
N64w23110 Main St Sussex WI 53089 Ph: (414) 566-8400 | 555 S 108th St West Allis WI 53214-1145 Ph: (414) 566-3725 |
| NPI Number | 1174089130 |
|---|---|
| Provider Enumeration Date | 02/14/2019 |
| Last Update Date | 02/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174089130 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
Michael A. Schwab, D.d.s., S.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10401 W Lincoln Ave Ste 205, West Allis, WI 53227 Phone: 414-545-5030 Fax: 414-545-6251 | |
Doctors' Denture Systems Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7500 W Lincoln Ave, West Allis, WI 53219 Phone: 414-321-7274 | |
Dr. James R. Maurin Dds Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10401 W Lincoln Ave, Ste. 204, West Allis, WI 53227 Phone: 414-545-5380 Fax: 414-545-0622 |