Advanced Dental Care Clinic Sc

NPI #1396258752 in Plymouth, Wisconsin

Provider Information

NPI Number: 1396258752
Entity Type: Organization
Organization Name: Advanced Dental Care Clinic Sc
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Nov 8, 2017
Last Updated: Dec 13, 2019

Practice Location

Address: 62 S PLEASANT VIEW ROAD
City: Plymouth
State: Wisconsin
ZIP Code: 53073
Phone: (920) 892-8466

Authorized Official

Name: HOOMAN SERESHKI, DDS
Title: OWNER
Phone: (920) 892-8466

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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