Dental Specialists of Milwaukee LLC

NPI #1013482298 in Greenfield, Wisconsin

Provider Information

NPI Number
1013482298
Entity Type
Organization
Organization Name
Dental Specialists of Milwaukee LLC
Primary Specialty
Dentist - Periodontics
Enumeration Date
Oct 3, 2018
Last Updated
Oct 3, 2018

Practice Location

Address
8405 W FOREST HOME AVE
ZIP Code
53228-3407
Phone
(414) 425-7710

Authorized Official

Name
DR. KELSEY SHINGO TENGAN, DDS, MS
Title
PERIODONTIST, PARTNER
Phone
(808) 283-1817

Specialties & Taxonomy Codes

Specialty
Dentist - PeriodonticsPeriodontics

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