ADVANCED DENTAL
Organization (NPI-2)
Active
Dentist, General Practice
Provider Information
- NPI Number
1427463199- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 6425 W GREENFIELD AVE, WEST ALLIS, WI, 532144939
- Phone
- (414) 914-7000
- Fax
- (414) 914-8000
Specialties & Taxonomies
Dentist, Oral and Maxillofacial Surgery
License: WI #6839-15
Dentist, General Practice
Primary License: WI #6839-15