Restoration Dental LLC

NPI #1487211447 in Glendale, Wisconsin

Provider Information

NPI Number
1487211447
Entity Type
Organization
Organization Name
Restoration Dental LLC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
May 24, 2019
Last Updated
Jun 11, 2019

Practice Location

Address
6373 N JEAN NICOLET RD STE 202
ZIP Code
53217-4184
Phone
(414) 228-9680

Authorized Official

Name
BRIDGET MACKEY, DDS
Title
OWNER
Phone
(414) 732-8043

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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