Tranquil Prophy Llc | |
3717 S 56th St Greenfield WI 53220-2046 | |
(414) 982-9163 | |
Not Available |
Full Name | Tranquil Prophy Llc |
---|---|
Speciality | Clinic/center - Dental |
Location | 3717 S 56th St, Greenfield, Wisconsin |
Authorized Official Name and Position | Lien Janick (HYGIENIST) |
Authorized Official Contact | 4149829163 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Tranquil Prophy Llc 3717 S 56th St Greenfield WI 53220-2046 Ph: () - | Tranquil Prophy Llc 3717 S 56th St Greenfield WI 53220-2046 Ph: (414) 982-9163 |
NPI Number | 1770293060 |
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Provider Enumeration Date | 11/29/2022 |
Last Update Date | 11/29/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770293060 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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