AMERICAN DENTAL SPECIALTY INSTITUTE, SC
Organization (NPI-2)
Active
Dentist, Periodontics
Provider Information
- NPI Number
1295930634- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 2323 S 109TH ST SUITE 275, WEST ALLIS, WI, 532271909
- Phone
- (414) 321-7200
- Fax
- (414) 321-3232
Specialties & Taxonomies
Dentist, Periodontics
Primary License: WI #3218