Wisconsin Oral Medicine LLC
NPI #1417740465 in Greenfield, Wisconsin
Provider Information
- NPI Number
- 1417740465
- Entity Type
- Organization
- Organization Name
- Wisconsin Oral Medicine LLC
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- May 23, 2025
- Last Updated
- May 23, 2025
Practice Location
- Address
- 8405 W FOREST HOME AVE
- City
- Greenfield
- State
- Wisconsin
- ZIP Code
- 53228-3407
- Phone
- (443) 255-8743
Authorized Official
- Name
- BHAVIK DESAI, MD
- Title
- OWNER
- Phone
- (443) 255-8743
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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