Glendale Optimal Dental Care, Inc.

NPI #1245048925 in Glendale, Wisconsin

Provider Information

NPI Number: 1245048925
Entity Type: Organization
Organization Name: Glendale Optimal Dental Care, Inc.
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 26, 2024
Last Updated: Dec 26, 2024

Practice Location

Address: 6191 N GREEN BAY AVE
City: Glendale
State: Wisconsin
ZIP Code: 53209-3813
Phone: (414) 404-6464

Authorized Official

Name: DR. EMMANUEL IGWIKE, DDS
Title: PRESIDENT
Phone: (414) 217-8236

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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