Wisconsin Children's General Anesthesia Dentistry, LLC

NPI #1629816087 in Glendale, Wisconsin

Provider Information

NPI Number
1629816087
Entity Type
Organization
Organization Name
Wisconsin Children's General Anesthesia Dentistry, LLC
Primary Specialty
Dentist
Enumeration Date
Jul 18, 2024
Last Updated
Sep 18, 2024

Practice Location

Address
7007 N RANGE LINE RD
ZIP Code
53209-2620
Phone
(301) 494-3000

Authorized Official

Name
JEFFERY WHEELER
Title
CEO
Phone
(301) 494-3000

Specialties & Taxonomy Codes

Specialty
Dentist

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