| Small World Childrens Dentistry Sc | |
|
17585 W North Ave Suite 230 Brookfield WI 53045-4365 | |
| (262) 780-9996 | |
| Not Available |
| Full Name | Small World Childrens Dentistry Sc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 17585 W North Ave, Brookfield, Wisconsin |
| Authorized Official Name and Position | Ricardo E Araujo (DENTIST/OWNER) |
| Authorized Official Contact | 2627809996 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Small World Childrens Dentistry Sc 17585 W North Ave Suite 230 Brookfield WI 53045-4365 Ph: (262) 780-9996 | Small World Childrens Dentistry Sc 17585 W North Ave Suite 230 Brookfield WI 53045-4365 Ph: (262) 780-9996 |
| NPI Number | 1134237241 |
|---|---|
| Provider Enumeration Date | 08/28/2006 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134237241 | NPI | - | NPPES |
| 33722300 | Medicaid | WI | |
| 4577 | Other | WI | LIC NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 4577 (Wisconsin) | Primary |
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