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827 S Rochester St Ste 112 Mukwonago WI 53149-1652 | |
| (262) 363-4141 | |
| (262) 363-7209 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 827 S Rochester St, Mukwonago, Wisconsin |
| Authorized Official Name and Position | Einar Carl Svang (PRESIDENT) |
| Authorized Official Contact | 2623634141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
827 S Rochester St Ste 112 Mukwonago WI 53149-1652 Ph: (262) 363-4141 | 827 S Rochester St Ste 112 Mukwonago WI 53149-1652 Ph: (262) 363-4141 |
| NPI Number | 1124249578 |
|---|---|
| Provider Enumeration Date | 05/02/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124249578 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | WI4382 (Wisconsin) | Primary |
Sullivan Dentistry,llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 920 Greenwald Ct, Ste 300, Mukwonago, WI 53149 Phone: 262-642-2296 | |