Brookfield Dental Center LLC

NPI #1649742370 in Brookfield, Wisconsin

Provider Information

NPI Number
1649742370
Entity Type
Organization
Organization Name
Brookfield Dental Center LLC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Dec 19, 2018
Last Updated
Dec 19, 2018

Practice Location

Address
17585 W NORTH AVE STE 210
ZIP Code
53045-4365
Phone
(262) 784-4222

Authorized Official

Name
TAMMY KEVIN
Title
MANAGER
Phone
(262) 873-0510

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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