Third Ward Dental, Sc

NPI 1285788349 - Clinic/Center - 261QD0000X

NPI Details
NPI 1285788349
Enumeration Date 01/23/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JOHN R. JOHN
Position PRESIDENT
Phone (414) 273-9800
Fax (414) 273-9807
Practice Location
219 N MILWAUKEE ST FL 5
MILWAUKEE WI, 53202-5818, US
Phone (414) 273-9800
Fax (414) 273-9807
Business Location
219 N MILWAUKEE ST FL 5
MILWAUKEE WI, 53202-5818, US
Phone (414) 273-9800
Fax (414) 273-9807
Toxanomy
Taxonomy Code 261QD0000X
License State Wisconsin
License Number 3071
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According to our database, Third Ward Dental, Sc NPI is 1285788349, taxonomy code is 261QD0000X and license number is 3071, license state is located at Wisconsin. Third Ward Dental, Sc physically located at 219 N Milwaukee St Fl 5, Milwaukee WI, 53202-5818. NPI Number 1033115704 has the healthcare provider type.

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1285788349 NPI number is provided on an as is basis without warranty of any kind. 1285788349 is maintained by the National Plan & Provider Enumeration System. The contents of Third Ward Dental, Sc are for informational purposes only.