Integrative Dental Solutions LLC

NPI #1316315351 in Pewaukee, Wisconsin

Provider Information

NPI Number: 1316315351
Entity Type: Organization
Organization Name: Integrative Dental Solutions LLC
Primary Specialty: Durable Medical Equipment & Medical Supplies - Customized Equipment
Enumeration Date: Sep 8, 2015
Last Updated: Sep 8, 2015

Practice Location

Address: N35W23770 CAPITOL DR STE E
City: Pewaukee
State: Wisconsin
ZIP Code: 53072-2639
Phone: (262) 691-4555

Authorized Official

Name: SUPRIYA SHETTY, DDS
Title: OWNER
Phone: (262) 691-4555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment	332BC3200X	Primary

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