| Ziolkowski Dental S.c. | |
|
3970 N Oakland Ave Ste 403 Shorewood WI 53211-2265 | |
| (414) 962-0389 | |
| (414) 962-4803 |
| Full Name | Ziolkowski Dental S.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3970 N Oakland Ave Ste 403, Shorewood, Wisconsin |
| Authorized Official Name and Position | Keith Alan Ziolkowski (PRESIDENT) |
| Authorized Official Contact | 4149620389 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ziolkowski Dental S.c. 3970 N Oakland Ave Ste 403 Shorewood WI 53211-2265 Ph: (414) 962-0389 | Ziolkowski Dental S.c. 3970 N Oakland Ave Ste 403 Shorewood WI 53211-2265 Ph: (414) 962-0389 |
| NPI Number | 1376676916 |
|---|---|
| Provider Enumeration Date | 03/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376676916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 2991-015 (Wisconsin) | Primary |
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