FAMILIA DENTAL MKEMIDTOWN LLC NPI 1982086955

NPI Information

FAMILIA DENTAL MKEMIDTOWN LLC 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. FAMILIA DENTAL MKEMIDTOWN LLC NPI is 1982086955. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5341 W FOND DU LAC AVE
MILWAUKEE, WI
ZIP 53216-365
Phone: (888) 988-4066
Fax: (847) 496-4850

The provider's authorized official is Koushan Azad .
The authorized official title is Owner and has the following contact phone number (847) 701-1457.

The enumeration date for this NPI number is 6/25/2015 and was last updated on 6/30/2016.

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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