Issa Dkeidek D.D.S.

NPI 1114121563 - Dentist - 122300000X

NPI Details
NPI 1114121563
Gender Male
Enumeration Date 06/11/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
11711 W BURLEIGH ST
MILWAUKEE WI, 53222-3108, US
Phone (800) 315-7007
Fax
Business Location
1014 N ASTOR ST
APT 23
MILWAUKEE WI, 53202-3317, US
Phone (716) 713-2613
Fax
Toxanomy
Taxonomy Code 122300000X
License State Wisconsin
License Number 6107 - 15
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According to our database, Dr. Issa Dkeidek D.D.S. NPI is 1114121563, taxonomy code is 122300000X and license number is 6107 - 15, license state is located at Wisconsin. Issa Dkeidek D.D.S. physically located at 11711 W Burleigh St, Milwaukee WI, 53222-3108. NPI Number Issa Dkeidek D.D.S. has the Individual type.

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1114121563 NPI number is provided on an as is basis without warranty of any kind. 1114121563 is maintained by the National Plan & Provider Enumeration System. The contents of Issa Dkeidek D.D.S. are for informational purposes only.