Eastbrook Dental
NPI #1669518213 in Brookfield, Wisconsin
Provider Information
- NPI Number
- 1669518213
- Entity Type
- Organization
- Organization Name
- Eastbrook Dental
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 30, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 12660 W NORTH AVE
- City
- Brookfield
- State
- Wisconsin
- ZIP Code
- 53005-4633
- Phone
- (262) 796-1312
Authorized Official
- Name
- THOMAS R HENSCHEL, D.D.S.
- Title
- PRESIDENT
- Phone
- (262) 796-1312
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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