Keystone West Allis LLC West Allis Dental Care
NPI #1588297584 in West Allis, Wisconsin
Provider Information
- NPI Number
- 1588297584
- Entity Type
- Organization
- Organization Name
- Keystone West Allis LLC West Allis Dental Care
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Feb 18, 2020
- Last Updated
- Feb 18, 2020
Practice Location
- Address
- 7130 W GREENFIELD AVE
- City
- West Allis
- State
- Wisconsin
- ZIP Code
- 53214-4708
- Phone
- (414) 258-2500
Authorized Official
- Name
- TAMMY KEVIN
- Title
- OPERATIONS MANAGER
- Phone
- (262) 873-0510
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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