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N80 W14832 Appleton Avenue Menomonee Falls WI 53051 | |
| (262) 255-4343 | |
| (262) 255-1968 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | N80 W14832 Appleton Avenue, Menomonee Falls, Wisconsin |
| Authorized Official Name and Position | Noelle Nicolet Hano (OWNER) |
| Authorized Official Contact | 2622554343 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
N80 W14832 Appleton Avenue Menomonee Falls WI 53051 Ph: (262) 255-4343 | N80 W14832 Appleton Avenue Menomonee Falls WI 53051 Ph: (262) 255-4343 |
| NPI Number | 1053420778 |
|---|---|
| Provider Enumeration Date | 08/29/2006 |
| Last Update Date | 02/06/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053420778 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 4433 (Wisconsin) | Primary |
| 122300000X | Dentist | 4187 (Wisconsin) | Secondary |
| 122300000X | Dentist | 4001829 (Wisconsin) | Secondary |
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