Waukesha County Community Dental Clinic, Inc.
NPI #1053814772 in Menomonee Falls, Wisconsin
Provider Information
- NPI Number
- 1053814772
- Entity Type
- Organization
- Organization Name
- Waukesha County Community Dental Clinic, Inc.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- WAUKESHA COUNTY COMMUNITY DENTAL CLINIC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Mar 9, 2018
- Last Updated
- Aug 10, 2018
Practice Location
- Address
- N81W15062 APPLETON AVE
- City
- Menomonee Falls
- State
- Wisconsin
- ZIP Code
- 53051
- Phone
- (262) 953-4699
Authorized Official
- Name
- RENEE RAMIREZ
- Title
- EXECUTIVE DIRECTOR
- Phone
- (262) 953-4699
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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