American Dental Specialty Institute, Sc
NPI #1295930634 in West Allis, Wisconsin
Provider Information
- NPI Number
- 1295930634
- Entity Type
- Organization
- Organization Name
- American Dental Specialty Institute, Sc
- Primary Specialty
- Dentist - Periodontics
- Enumeration Date
- Jun 17, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 2323 S 109TH ST
- Address 2
- SUITE 275
- City
- West Allis
- State
- Wisconsin
- ZIP Code
- 53227-1909
- Phone
- (414) 321-7200
Authorized Official
- Name
- DR. AHMAD ESLAMI, D.M.D., M.S.
- Title
- PRESIDENT
- Phone
- (414) 321-7200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Periodontics — Periodontics |
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