GERALD L IGNACE INDIAN DENTAL CENTER, 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. GERALD L IGNACE INDIAN DENTAL CENTER, LLC NPI is 1710498514. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
930 W HISTORIC MITCHELL ST
MILWAUKEE, WI
ZIP 53204-533
Phone: (414) 389-9526
Fax: (414) 649-2711
The provider's authorized official is Dandre Lashun Turner .
The authorized official title is Billing Specialist and has the following contact phone number (414) 316-5052.
The CLIA number assigned to this NPI record is 52D0390279 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 10/19/2017 and was last updated on 10/19/2017.