Antisdel Dental Clinic, S.c.

NPI #1649294257 in Saukville, Wisconsin

Provider Information

NPI Number
1649294257
Entity Type
Organization
Organization Name
Antisdel Dental Clinic, S.c.
Primary Specialty
Dentist - General Practice
Enumeration Date
Jul 27, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
661 E GREEN BAY AVE
ZIP Code
53080-2013
Phone
(262) 284-7111

Authorized Official

Name
DR. ROBERT JAMES ANTISDEL, D.D.S.
Title
PRESIDENT / DENTIST
Phone
12622847111

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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Provider Name
Sauk Trail Dental LLC

Part of Stepping Stone Dental Partners

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