Ag Perio LLC

NPI #1508530247 in Waukesha, Wisconsin

Provider Information

NPI Number
1508530247
Entity Type
Organization
Organization Name
Ag Perio LLC
Primary Specialty
Dentist - Periodontics
Enumeration Date
Aug 5, 2021
Last Updated
Aug 5, 2021

Practice Location

Address
2316 N GRANDVIEW BLVD
ZIP Code
53188-5318
Phone
(262) 547-1877

Authorized Official

Name
MS. LISA A GARCIA, RDH
Title
OFFICE MANAGER
Phone
(262) 547-1877

Specialties & Taxonomy Codes

Specialty
Dentist - PeriodonticsPeriodontics

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