| Wendy M Pietz, Dds, Sc | |
|
4600 W Loomis Rd Suite 220 Greenfield WI 53220-4858 | |
| (414) 281-1881 | |
| (414) 281-2745 |
| Full Name | Wendy M Pietz, Dds, Sc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 4600 W Loomis Rd, Greenfield, Wisconsin |
| Authorized Official Name and Position | Wendy M Pietz (PRESIDENT) |
| Authorized Official Contact | 4142811881 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wendy M Pietz, Dds, Sc 4600 W Loomis Rd Suite 220 Greenfield WI 53220-4858 Ph: (414) 281-1881 | Wendy M Pietz, Dds, Sc 4600 W Loomis Rd Suite 220 Greenfield WI 53220-4858 Ph: (414) 281-1881 |
| NPI Number | 1235251125 |
|---|---|
| Provider Enumeration Date | 04/04/2007 |
| Last Update Date | 03/24/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235251125 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 5736 (Wisconsin) | Primary |
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