| The Kids Dentist Dental Center Llc | |
|
10618 N Port Washington Rd Mequon WI 53092-5013 | |
| (262) 249-6419 | |
| Not Available |
| Full Name | The Kids Dentist Dental Center Llc |
|---|---|
| Speciality | Dentist |
| Location | 10618 N Port Washington Rd, Mequon, Wisconsin |
| Authorized Official Name and Position | Michael Cole (SVP INSURANCE PLAN MANAGEMENT) |
| Authorized Official Contact | 7274242990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Kids Dentist Dental Center Llc 10618 N Port Washington Rd Mequon WI 53092-5013 Ph: (262) 249-6419 | The Kids Dentist Dental Center Llc 10618 N Port Washington Rd Mequon WI 53092-5013 Ph: (262) 249-6419 |
| NPI Number | 1922862473 |
|---|---|
| Provider Enumeration Date | 02/06/2024 |
| Last Update Date | 02/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922862473 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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