| Wisconsin Children's General Anesthesia Dentistry, Llc | |
|
7007 N Range Line Rd Glendale WI 53209-2620 | |
| (301) 494-3000 | |
| Not Available |
| Full Name | Wisconsin Children's General Anesthesia Dentistry, Llc |
|---|---|
| Speciality | Dentist |
| Location | 7007 N Range Line Rd, Glendale, Wisconsin |
| Authorized Official Name and Position | Jeffery Wheeler (CEO) |
| Authorized Official Contact | 3014943000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wisconsin Children's General Anesthesia Dentistry, Llc 1220 Caraway Ct Ste 1050 Upper Marlboro MD 20774-5338 Ph: (301) 494-3000 | Wisconsin Children's General Anesthesia Dentistry, Llc 7007 N Range Line Rd Glendale WI 53209-2620 Ph: (301) 494-3000 |
| NPI Number | 1629816087 |
|---|---|
| Provider Enumeration Date | 07/18/2024 |
| Last Update Date | 09/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629816087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
Bruce Holmstrom D.d.s.,sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5150 N Port Washington Rd, Suite 201, Glendale, WI 53217 Phone: 414-964-8850 Fax: 414-964-8918 | |
Forwarddental Glendale Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7040 N Port Washington Rd Ste 414, Glendale, WI 53217 Phone: 920-212-4641 Fax: 920-954-9080 | |
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Restoration Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6373 N Jean Nicolet Rd Ste 202, Glendale, WI 53217 Phone: 414-228-9680 | |
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