| Sidney H. Friedman, Dds, Sc | |
|
10345 N Port Washington Rd Suite #150 Mequon WI 53092-5762 | |
| (262) 240-9400 | |
| (262) 241-5652 |
| Full Name | Sidney H. Friedman, Dds, Sc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10345 N Port Washington Rd, Mequon, Wisconsin |
| Authorized Official Name and Position | Sidney H Friedman (PRESIDENT) |
| Authorized Official Contact | 2622409400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sidney H. Friedman, Dds, Sc 10345 N Port Washington Rd Suite #150 Mequon WI 53092-5762 Ph: (262) 240-9400 | Sidney H. Friedman, Dds, Sc 10345 N Port Washington Rd Suite #150 Mequon WI 53092-5762 Ph: (262) 240-9400 |
| NPI Number | 1801920764 |
|---|---|
| Provider Enumeration Date | 03/15/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801920764 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5001442-015 (Wisconsin) | Primary |
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