Keystone Waukesha LLC
NPI #1124868575 in Waukesha, Wisconsin
Provider Information
- NPI Number
- 1124868575
- Entity Type
- Organization
- Organization Name
- Keystone Waukesha LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- May 31, 2024
- Last Updated
- May 31, 2024
Practice Location
Authorized Official
- Name
- TAMMY KEVIN
- Title
- VICE PRESIDENT
- Phone
- (262) 873-0510
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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