| Union Grove Family Dental, Llc | |
|
1680 15th Ave Union Grove WI 53182-1525 | |
| (262) 878-1500 | |
| Not Available |
| Full Name | Union Grove Family Dental, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1680 15th Ave, Union Grove, Wisconsin |
| Authorized Official Name and Position | Kristin M Lenz Galbreath (DENTIST) |
| Authorized Official Contact | 2629308297 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Union Grove Family Dental, Llc 1680 15th Ave Union Grove WI 53182-1525 Ph: () - | Union Grove Family Dental, Llc 1680 15th Ave Union Grove WI 53182-1525 Ph: (262) 878-1500 |
| NPI Number | 1881290872 |
|---|---|
| Provider Enumeration Date | 12/07/2020 |
| Last Update Date | 12/07/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881290872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
The Family Dentists Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1680 15th Ave, Union Grove, WI 53182 Phone: 262-878-1500 Fax: 262-878-4782 |