Ahp 005 LLC

NPI #1528871050 in Cedarburg, Wisconsin

Provider Information

NPI Number: 1528871050
Entity Type: Organization
Organization Name: Ahp 005 LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 29, 2025
Last Updated: Jan 29, 2025

Practice Location

Address: N57W6296 CENTER ST
City: Cedarburg
State: Wisconsin
ZIP Code: 53012-1906
Phone: (262) 377-5130

Authorized Official

Name: KATE MANTAY
Title: DIRECTOR OF OPERATIONS
Phone: (262) 649-4900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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