Galleria West Dental S.c.
NPI #1386906410 in Brookfield, Wisconsin
Provider Information
- NPI Number
- 1386906410
- Entity Type
- Organization
- Organization Name
- Galleria West Dental S.c.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 14, 2012
- Last Updated
- Jul 18, 2024
Practice Location
- Address
- 18900 W BLUEMOUND RD
- Address 2
- SUITE 218
- City
- Brookfield
- State
- Wisconsin
- ZIP Code
- 53045-6092
- Phone
- (262) 754-2727
Authorized Official
- Name
- DR. ERIC W BIEDERWOLF, DDS
- Title
- OWNER/DENTIST/PRESIDENT
- Phone
- (262) 754-2727
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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