Summit Square Dental LLC
NPI #1144764978 in Waukesha, Wisconsin
Provider Information
- NPI Number
- 1144764978
- Entity Type
- Organization
- Organization Name
- Summit Square Dental LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- STEPPING STONE DENTAL PARTNERS
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Dec 13, 2016
- Last Updated
- Dec 13, 2016
Practice Location
Authorized Official
- Name
- TIMOTHY J MATHISON
- Title
- PRESIDENT & CEO
- Phone
- (608) 709-8303
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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