Brookfieldctd LLC

NPI #1598346280 in Brookfield, Wisconsin

Provider Information

NPI Number: 1598346280
Entity Type: Organization
Organization Name: Brookfieldctd LLC
Primary Specialty: Dentist
Enumeration Date: Apr 15, 2021
Last Updated: Apr 15, 2021

Practice Location

Address: 14335 W CAPITOL DR
City: Brookfield
State: Wisconsin
ZIP Code: 53005-2396
Phone: (262) 783-3311

Authorized Official

Name: MITCH WEILAND
Title: ASSISTANT CONTROLLER
Phone: (608) 343-0818

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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