Greendale Dental Associates, S.c.

NPI #1659425163 in Greendale, Wisconsin

Provider Information

NPI Number: 1659425163
Entity Type: Organization
Organization Name: Greendale Dental Associates, S.c.
Primary Specialty: Dentist
Enumeration Date: Jan 22, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 5808 BROAD ST
City: Greendale
State: Wisconsin
ZIP Code: 53129-2404
Phone: (414) 421-2303

Authorized Official

Name: DR. ROBERT WILLIAM ANDERSON, D.D.S.
Title: SECRETARY
Phone: (414) 421-2303

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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