Orchard Dental Sc
NPI #1316335763 in West Allis, Wisconsin
Provider Information
- NPI Number
- 1316335763
- Entity Type
- Organization
- Organization Name
- Orchard Dental Sc
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jan 7, 2015
- Last Updated
- Jan 7, 2015
Practice Location
- Address
- 1469 S 70TH ST
- City
- West Allis
- State
- Wisconsin
- ZIP Code
- 53214-4814
- Phone
- (414) 383-5833
Authorized Official
- Name
- DR. ROBERTO EDGARDO MONTEAGUDO, DDS
- Title
- OWNER
- Phone
- (414) 383-5833
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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