| The Family Dentists | |
|
1680 15th Ave Union Grove WI 53182-1525 | |
| (262) 878-1500 | |
| (262) 878-4782 |
| Full Name | The Family Dentists |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1680 15th Ave, Union Grove, Wisconsin |
| Authorized Official Name and Position | John R Ulloa (OWNER) |
| Authorized Official Contact | 2628781500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Family Dentists 1680 15th Ave Union Grove WI 53182-1525 Ph: (262) 878-1500 | The Family Dentists 1680 15th Ave Union Grove WI 53182-1525 Ph: (262) 878-1500 |
| NPI Number | 1609948967 |
|---|---|
| Provider Enumeration Date | 11/14/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609948967 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4398 (Wisconsin) | Primary |
Union Grove Family Dental, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1680 15th Ave, Union Grove, WI 53182 Phone: 262-878-1500 |