Affordable Dentures & Implants - Kenosha Iii, S.c.
NPI #1104647957 in Pleasant Prairie, Wisconsin
Provider Information
- NPI Number
- 1104647957
- Entity Type
- Organization
- Organization Name
- Affordable Dentures & Implants - Kenosha Iii, S.c.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 23, 2024
- Last Updated
- Oct 23, 2024
Practice Location
- Address
- 10347 77TH ST STE 630
- City
- Pleasant Prairie
- State
- Wisconsin
- ZIP Code
- 53158-1138
- Phone
- (262) 694-6360
Authorized Official
- Name
- ZAHIR SIDDIQUI, DMD
- Title
- MANAGING DENTIST
- Phone
- (262) 694-6360
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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