MEQUON DEER DENTAL LLC NPI 1164047130

NPI Information

MEQUON DEER DENTAL, LLC is a dental clinic center in Milwaukee, WI. MEQUON DEER DENTAL, LLC NPI is 1164047130. The provider is registered as an organization entity type.

The provider's business location address is:

7400 W BROWN DEER RD
MILWAUKEE, WI
ZIP 53223-078
Phone: (414) 354-1160

The provider's authorized official is Olga Grenova .
The authorized official title is Dir Of Accounting and has the following contact phone number (608) 833-2213.

The enumeration date for this NPI number is 6/15/2020 and was last updated on 6/15/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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