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
- City
- Brookfield
- State
- Wisconsin
- 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 - Dental — Dental |
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