Oakbrook Dental Group Sc

NPI #1477705622 in West Bend, Wisconsin

Provider Information

NPI Number: 1477705622
Entity Type: Organization
Organization Name: Oakbrook Dental Group Sc
Primary Specialty: Dentist
Enumeration Date: Oct 21, 2008
Last Updated: Oct 21, 2008

Practice Location

Address: 1201 OAK STREET
City: West Bend
State: Wisconsin
ZIP Code: 53095
Phone: (262) 335-0822

Authorized Official

Name: DR. TIMOTHY J MERRY, DDS
Title: PRESIDENT
Phone: (262) 338-0022

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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