Wisconsin Dental Group, S.c. | |
500 W Silver Spring Dr Ste K250 Glendale WI 53217-5062 | |
(262) 363-2220 | |
Not Available |
Full Name | Wisconsin Dental Group, S.c. |
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Speciality | Dentist - General Practice |
Location | 500 W Silver Spring Dr Ste K250, Glendale, Wisconsin |
Authorized Official Name and Position | Celia Hayes (CREDENTIALING COORDINATOR) |
Authorized Official Contact | 2175402100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Wisconsin Dental Group, S.c. 500 W Silver Spring Dr Ste K250 Glendale WI 53217-5062 Ph: (262) 363-2220 | Wisconsin Dental Group, S.c. 500 W Silver Spring Dr Ste K250 Glendale WI 53217-5062 Ph: (262) 363-2220 |
NPI Number | 1760130280 |
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Provider Enumeration Date | 03/14/2022 |
Last Update Date | 03/14/2022 |
Identifier | Type | State | Issuer |
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1760130280 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (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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