| Vineyard Family Dental,s.c. | |
|
7410 N Teutonia Ave Milwaukee WI 53209-2008 | |
| (414) 351-6161 | |
| (414) 351-6162 |
| Full Name | Vineyard Family Dental,s.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7410 N Teutonia Ave, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Chul-ha Baik (OWNER) |
| Authorized Official Contact | 4143516161 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vineyard Family Dental,s.c. 7410 N Teutonia Ave Milwaukee WI 53209-2008 Ph: (414) 351-6161 | Vineyard Family Dental,s.c. 7410 N Teutonia Ave Milwaukee WI 53209-2008 Ph: (414) 351-6161 |
| NPI Number | 1255404844 |
|---|---|
| Provider Enumeration Date | 11/15/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255404844 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5791015 (Wisconsin) | Primary |
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