Southwest Dental Group, S.c.

NPI #1003942319 in Racine, Wisconsin

Provider Information

NPI Number
1003942319
Entity Type
Organization
Organization Name
Southwest Dental Group, S.c.
Primary Specialty
Dentist - General Practice
Enumeration Date
Feb 23, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
2601 TAYLOR AVE
City
Racine
ZIP Code
53403-2865
Phone
(262) 632-3156

Authorized Official

Name
DR. RICHARD L. DEFURIO, D.D.S.
Title
OWNER
Phone
(262) 632-3156

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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