Dental Care Providers of America

NPI #1104207232 in Kenosha, Wisconsin

Provider Information

NPI Number: 1104207232
Entity Type: Organization
Organization Name: Dental Care Providers of America
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Jun 15, 2015
Last Updated: Jun 15, 2015

Practice Location

Address: 3715 WASHINGTON RD
City: Kenosha
State: Wisconsin
ZIP Code: 53144-1629
Phone: (262) 237-6238

Authorized Official

Name: DR. WILLIAM RYAN KISKER, D.M.D.
Title: PRESIDENT
Phone: (224) 645-4929

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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