Westallisctd Llc | |
10923 W Lincoln Ave West Allis WI 53227-1173 | |
(414) 327-4600 | |
Not Available |
Full Name | Westallisctd Llc |
---|---|
Speciality | Dentist |
Location | 10923 W Lincoln Ave, West Allis, Wisconsin |
Authorized Official Name and Position | Mitchell Weiland (ASSISTANT CONTROLLER) |
Authorized Official Contact | 6083430818 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Westallisctd Llc 8025 Excelsior Dr Madison WI 53717-1900 Ph: (608) 343-0818 | Westallisctd Llc 10923 W Lincoln Ave West Allis WI 53227-1173 Ph: (414) 327-4600 |
NPI Number | 1699351551 |
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Provider Enumeration Date | 03/22/2021 |
Last Update Date | 03/22/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699351551 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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