CHILDREN'S DENTAL CLINIC S.C. NPI 1447390521

NPI Information

CHILDREN'S DENTAL CLINIC, S.C. is a general practice dentist in Milwaukee, WI. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. CHILDREN'S DENTAL CLINIC, S.C. NPI is 1447390521. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3814 S HOWELL AVE
MILWAUKEE, WI
ZIP 53207-841
Phone: (414) 744-3333
Fax: (414) 744-1155

The provider's authorized official is Balbir R Bagga .
The authorized official title is President and has the following contact phone number (414) 744-3333.

The CLIA number assigned to this NPI record is 52D2116576 - community clinic with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 2/7/2007 and was last updated on 8/22/2020.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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