PRO DENTAL WI 1 PC
Organization (NPI-2)
Active
Dentist
Provider Information
- NPI Number
1013744523- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1838 S 15TH ST, MILWAUKEE, WI, 532043225
- Phone
- (414) 455-8805
- Fax
- (414) 455-8812
Specialties & Taxonomies
Dentist
Primary
Dentist, General Practice