| Swan Dental, Sc | |
|
2669 N Swan Blvd Milwaukee WI 53226-1800 | |
| (414) 258-2216 | |
| (414) 258-9466 |
| Full Name | Swan Dental, Sc |
|---|---|
| Speciality | Dentist |
| Location | 2669 N Swan Blvd, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Steven Robert Schnoll (OWNER) |
| Authorized Official Contact | 4142582216 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Swan Dental, Sc 2669 N Swan Blvd Milwaukee WI 53226-1800 Ph: (414) 258-2216 | Swan Dental, Sc 2669 N Swan Blvd Milwaukee WI 53226-1800 Ph: (414) 258-2216 |
| NPI Number | 1952413544 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 01/16/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952413544 | NPI | - | NPPES |
| 38388000 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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