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2572 S 76th St West Allis WI 53219-2476 | |
| (414) 383-2426 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2572 S 76th St, West Allis, Wisconsin |
| Authorized Official Name and Position | Donovan Y Lee (PRESIDENT) |
| Authorized Official Contact | 4148017500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2572 S 76th St West Allis WI 53219-2476 Ph: (414) 383-2426 | 2572 S 76th St West Allis WI 53219-2476 Ph: (414) 383-2426 |
| NPI Number | 1538414503 |
|---|---|
| Provider Enumeration Date | 07/16/2012 |
| Last Update Date | 07/20/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538414503 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6956-15 (Wisconsin) | Primary |
Michael A. Schwab, D.d.s., S.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10401 W Lincoln Ave Ste 205, West Allis, WI 53227 Phone: 414-545-5030 Fax: 414-545-6251 | |
Doctors' Denture Systems Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7500 W Lincoln Ave, West Allis, WI 53219 Phone: 414-321-7274 | |
Dr. James R. Maurin Dds Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10401 W Lincoln Ave, Ste. 204, West Allis, WI 53227 Phone: 414-545-5380 Fax: 414-545-0622 |