| Waukesha County Community Dental Clinic, Inc. | |
|
210 Nw Barstow St Suite 305 Waukesha WI 53188-3771 | |
| (262) 522-7645 | |
| Not Available |
| Full Name | Waukesha County Community Dental Clinic, Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 210 Nw Barstow St, Waukesha, Wisconsin |
| Authorized Official Name and Position | Renee Ramirez (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2625227645 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Waukesha County Community Dental Clinic, Inc. 210 Nw Barstow St Suite 305 Waukesha WI 53188-3771 Ph: (262) 522-7645 | Waukesha County Community Dental Clinic, Inc. 210 Nw Barstow St Suite 305 Waukesha WI 53188-3771 Ph: (262) 522-7645 |
| NPI Number | 1629241237 |
|---|---|
| Provider Enumeration Date | 04/04/2008 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629241237 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (Wisconsin) | Primary |
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