Familia Dental Kenosha LLC
NPI #1154782209 in Kenosha, Wisconsin
Provider Information
- NPI Number
- 1154782209
- Entity Type
- Organization
- Organization Name
- Familia Dental Kenosha LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Mar 17, 2016
- Last Updated
- Jun 25, 2021
Practice Location
Authorized Official
- Name
- MR. BRANDON ALEXANDER TAYLOR, CPCS
- Title
- CREDENTIALING & PAYER RELATIONS MAN
- Phone
- (847) 453-7396
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
| Clinic/Center - Dental — Dental |
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