| Third Coast Dental Llc | |
|
8531 W Lincoln Ave West Allis WI 53227-2542 | |
| (414) 327-2700 | |
| Not Available |
| Full Name | Third Coast Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 8531 W Lincoln Ave, West Allis, Wisconsin |
| Authorized Official Name and Position | Andrea Emmerich (OWNER/DENTIST) |
| Authorized Official Contact | 8643590902 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Third Coast Dental Llc 8531 W Lincoln Ave West Allis WI 53227-2542 Ph: () - | Third Coast Dental Llc 8531 W Lincoln Ave West Allis WI 53227-2542 Ph: (414) 327-2700 |
| NPI Number | 1871118554 |
|---|---|
| Provider Enumeration Date | 06/09/2020 |
| Last Update Date | 06/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871118554 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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