Fresh Coast Dental I LLC
NPI #1639037021 in West Milwaukee, Wisconsin
Provider Information
- NPI Number
- 1639037021
- Entity Type
- Organization
- Organization Name
- Fresh Coast Dental I LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 13, 2026
- Last Updated
- Jan 13, 2026
Practice Location
- Address
- 4701 W NATIONAL AVE
- City
- West Milwaukee
- State
- Wisconsin
- ZIP Code
- 53214-3521
- Phone
- (414) 687-9831
Authorized Official
- Name
- DR. AHMED ALSALLAMI, DDS
- Title
- OWNER/DENTIST
- Phone
- (414) 687-9831
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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