| Sunst Dental Care Sc | |
|
W247 S3114 Prairie Avenue Waukesha WI 53189 | |
| (262) 544-4404 | |
| (262) 544-4399 |
| Full Name | Sunst Dental Care Sc |
|---|---|
| Speciality | Dentist |
| Location | W247 S3114 Prairie Avenue, Waukesha, Wisconsin |
| Authorized Official Name and Position | Dennis M O Brien (PRESIDENT) |
| Authorized Official Contact | 2625444404 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunst Dental Care Sc W247 S3114 Prairie Avenue Waukesha WI 53189 Ph: (262) 544-4404 | Sunst Dental Care Sc W247 S3114 Prairie Avenue Waukesha WI 53189 Ph: (262) 544-4404 |
| NPI Number | 1780804716 |
|---|---|
| Provider Enumeration Date | 05/01/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780804716 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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