| The Neighborhood Dentist Llc | |
|
21051 Watertown Rd Waukesha WI 53186-1806 | |
| (262) 784-5757 | |
| Not Available |
| Full Name | The Neighborhood Dentist Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 21051 Watertown Rd, Waukesha, Wisconsin |
| Authorized Official Name and Position | Christina Lundin (GENERAL DENTIST, OWNER) |
| Authorized Official Contact | 8478942134 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Neighborhood Dentist Llc 14775 Ridgemoor Dr Elm Grove WI 53122-1135 Ph: (847) 894-2134 | The Neighborhood Dentist Llc 21051 Watertown Rd Waukesha WI 53186-1806 Ph: (262) 784-5757 |
| NPI Number | 1205655412 |
|---|---|
| Provider Enumeration Date | 10/04/2024 |
| Last Update Date | 10/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205655412 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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