Westallisctd LLC
NPI #1699351551 in West Allis, Wisconsin
Provider Information
- NPI Number
- 1699351551
- Entity Type
- Organization
- Organization Name
- Westallisctd LLC
- Primary Specialty
- Dentist
- Enumeration Date
- Mar 22, 2021
- Last Updated
- Mar 22, 2021
Practice Location
- Address
- 10923 W LINCOLN AVE
- City
- West Allis
- State
- Wisconsin
- ZIP Code
- 53227-1173
- Phone
- (414) 327-4600
Authorized Official
- Name
- MITCHELL WEILAND
- Title
- ASSISTANT CONTROLLER
- Phone
- (608) 343-0818
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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