| Shorewood Family Dentistry, Llc | |
|
3970 N Oakland Ave Ste 702 Shorewood WI 53211-2265 | |
| (414) 332-8150 | |
| (414) 332-6202 |
| Full Name | Shorewood Family Dentistry, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3970 N Oakland Ave Ste 702, Shorewood, Wisconsin |
| Authorized Official Name and Position | Peter James Colosimo (OWNER MEMBER DENTIST) |
| Authorized Official Contact | 4145263271 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shorewood Family Dentistry, Llc 3970 N Oakland Ave Ste 702 Shorewood WI 53211-2265 Ph: (414) 332-8150 | Shorewood Family Dentistry, Llc 3970 N Oakland Ave Ste 702 Shorewood WI 53211-2265 Ph: (414) 332-8150 |
| NPI Number | 1336803600 |
|---|---|
| Provider Enumeration Date | 10/23/2021 |
| Last Update Date | 10/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336803600 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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