Mdc New Berlin, LLC
NPI #1528515640 in New Berlin, Wisconsin
Provider Information
- NPI Number
- 1528515640
- Entity Type
- Organization
- Organization Name
- Mdc New Berlin, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Sep 7, 2016
- Last Updated
- Sep 7, 2016
Practice Location
- Address
- 15738 W NATIONAL AVE
- City
- New Berlin
- State
- Wisconsin
- ZIP Code
- 53151-5119
- Phone
- (262) 784-2110
Authorized Official
- Name
- MR. CHRISTOPHER TWOHIG
- Title
- DIRECTOR OF DEVELOPMNET
- Phone
- (920) 602-0007
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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