Igor Sulim JR., DDS

NPI #1316415086 in Glendale, Wisconsin

Provider Information

NPI Number
1316415086
Entity Type
Individual
Name
Igor Sulim JR., DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Nov 10, 2018
Last Updated
Nov 10, 2018

Practice Location

Address
2300 W GOOD HOPE RD UNIT 337
ZIP Code
53209-2749
Phone
(414) 630-2236

Specialties & Taxonomy Codes

Specialty
Dentist

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