East Towne Dental Associated Belgium Family Dental Sc

NPI 1356489603 - Dentist - 122300000X

NPI Details
NPI 1356489603
Enumeration Date 02/01/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name VALI VALI
Position PRESIDENT
Phone (262) 241-8880
Fax (262) 241-5250
Practice Location
11501 N PROT WASHINGTON RD
MEQUON WI, 53092, US
Phone (262) 241-8880
Fax (262) 241-5250
Business Location
11501 N PROT WASHINGTON RD
MEQUON WI, 53092, US
Phone (262) 241-8880
Fax (262) 241-5250
Toxanomy
Taxonomy Code 122300000X
License State Wisconsin
License Number 5301
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According to our database, East Towne Dental Associated Belgium Family Dental Sc NPI is 1356489603, taxonomy code is 122300000X and license number is 5301, license state is located at Wisconsin. East Towne Dental Associated Belgium Family Dental Sc physically located at 11501 N Prot Washington Rd, Mequon WI, 53092. NPI Number 1033115704 has the healthcare provider type.

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1356489603 NPI number is provided on an as is basis without warranty of any kind. 1356489603 is maintained by the National Plan & Provider Enumeration System. The contents of East Towne Dental Associated Belgium Family Dental Sc are for informational purposes only.