Elmbrook Oral & Maxillofacial Surgery Assoc., S.c.

NPI 1366586224 - Dentist - 1223S0112X

NPI Details
NPI 1366586224
Enumeration Date 02/16/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ROBERT A. ROBERT
Position PRESIDENT
Phone (262) 784-0053
Fax (262) 784-0757
Practice Location
12720 W NORTH AVE
BROOKFIELD WI, 53005-4637, US
Phone (262) 784-0053
Fax (262) 784-0757
Business Location
12720 W NORTH AVE
BROOKFIELD WI, 53005-4637, US
Phone (262) 784-0053
Fax (262) 784-0757
Toxanomy
Taxonomy Code 1223S0112X
License State Wisconsin
License Number 4138-015
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According to our database, Elmbrook Oral & Maxillofacial Surgery Assoc., S.c. NPI is 1366586224, taxonomy code is 1223S0112X and license number is 4138-015, license state is located at Wisconsin. Elmbrook Oral & Maxillofacial Surgery Assoc., S.c. physically located at 12720 W North Ave, Brookfield WI, 53005-4637. NPI Number 1033115704 has the healthcare provider type.

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1366586224 NPI number is provided on an as is basis without warranty of any kind. 1366586224 is maintained by the National Plan & Provider Enumeration System. The contents of Elmbrook Oral & Maxillofacial Surgery Assoc., S.c. are for informational purposes only.