The Kids Dentist LLC
NPI #1407257108 in Mequon, Wisconsin
Provider Information
- NPI Number
- 1407257108
- Entity Type
- Organization
- Organization Name
- The Kids Dentist LLC
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Sep 12, 2014
- Last Updated
- Sep 12, 2014
Practice Location
Authorized Official
- Name
- DR. SHANE FISHER, DDS
- Title
- OWNER
- Phone
- (262) 241-0400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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