The Fun Kids Dentist, S.c.

NPI #1568522720 in Brookfield, Wisconsin

Provider Information

NPI Number: 1568522720
Entity Type: Organization
Organization Name: The Fun Kids Dentist, S.c.
Primary Specialty: Dentist
Enumeration Date: Dec 11, 2006
Last Updated: May 27, 2014

Practice Location

Address: 16655 BLUEMOUND RD
Address 2: SUITE 380
City: Brookfield
State: Wisconsin
ZIP Code: 53005
Phone: (262) 786-1270

Authorized Official

Name: DR. EDWARD J. TROCHLELL, D.D.S.
Title: PRESIDENT/OWNER
Phone: (262) 786-1270

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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