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Comprehensive Dental Services Ltd

NPI #1154480002 in Mequon, Wisconsin

Provider Information

NPI Number
1154480002
Entity Type
Organization
Organization Name
Comprehensive Dental Services Ltd
Primary Specialty
Dentist - General Practice
Enumeration Date
Dec 6, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
10521 N PORT WASHINGTON RD
Address 2
SUITE 200
City
Mequon
State
Wisconsin
ZIP Code
53092
Phone
(262) 241-2060

Authorized Official

Name
DR. MARC JACOBSON, DDS
Title
VICE PRESIDENT
Phone
(262) 241-2060

Specialties & Taxonomy Codes

Specialty
Dentist - General Practice — General Practice

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