911 Dental Group

NPI #1235944190 in Racine, Wisconsin

Provider Information

NPI Number
1235944190
Entity Type
Organization
Organization Name
911 Dental Group
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Feb 10, 2025
Last Updated
Feb 10, 2025

Practice Location

Address
400 LAKE AVE
City
Racine
ZIP Code
53403-1020
Phone
(262) 900-2191

Authorized Official

Name
DR. NANA YAW OWUSU, DMD
Title
CEO
Phone
(262) 900-2191

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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