| Waukesha Pediatric Dental Care Sc | |
|
2727 N Grandview Blvd Suite 206 Waukesha WI 53188-1671 | |
| (262) 542-8402 | |
| (262) 542-4436 |
| Full Name | Waukesha Pediatric Dental Care Sc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2727 N Grandview Blvd, Waukesha, Wisconsin |
| Authorized Official Name and Position | Susann B Norwick (DR CEO) |
| Authorized Official Contact | 2625428402 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Waukesha Pediatric Dental Care Sc 2727 N Grandview Blvd Suite 206 Waukesha WI 53188-1671 Ph: (262) 542-8402 | Waukesha Pediatric Dental Care Sc 2727 N Grandview Blvd Suite 206 Waukesha WI 53188-1671 Ph: (262) 542-8402 |
| NPI Number | 1124168638 |
|---|---|
| Provider Enumeration Date | 02/07/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124168638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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