D2 Dental of Wisconsin, S.c.
NPI #1124528914 in Mount Pleasant, Wisconsin
Provider Information
- NPI Number
- 1124528914
- Entity Type
- Organization
- Organization Name
- D2 Dental of Wisconsin, S.c.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Feb 18, 2018
- Last Updated
- Nov 10, 2020
Practice Location
- Address
- 6012 WASHINGTON AVE
- City
- Mount Pleasant
- State
- Wisconsin
- ZIP Code
- 53406-4038
- Phone
- (262) 583-0022
Authorized Official
- Name
- MR. BORIS LABINOV
- Title
- AGENT
- Phone
- (312) 404-3975
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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