North Shore Dental Group S.c.

NPI #1093868523 in Mequon, Wisconsin

Provider Information

NPI Number
1093868523
Entity Type
Organization
Organization Name
North Shore Dental Group S.c.
Primary Specialty
Dentist - General Practice
Enumeration Date
Jan 19, 2007
Last Updated
Nov 12, 2008

Practice Location

Address
2601 W MEQUON RD
City
Mequon
ZIP Code
53092-3151
Phone
(262) 242-1180

Authorized Official

Name
DR. ALLEN D LANGEBERG, D.D.S.
Title
VICE PRESIDENT
Phone
(262) 242-1180

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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