FAMILIA DENTAL KENOSHA LLC is a dental clinic center in Kenosha, WI. FAMILIA DENTAL KENOSHA LLC NPI is 1154782209. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
6430 GREEN BAY RD.
STE. 112
KENOSHA, WI
ZIP 53142-948
Phone: (262) 653-3980
Fax: (262) 455-7710
The provider's authorized official is Brandon Alexander Taylor .
The authorized official title is Credentialing & Payer Relations Man and has the following contact phone number (847) 453-7396.
The enumeration date for this NPI number is 3/17/2016 and was last updated on 6/25/2021.