Children's Dentistry of Kenosha LLC
NPI #1699402719 in Pleasant Prairie, Wisconsin
Provider Information
- NPI Number
- 1699402719
- Entity Type
- Organization
- Organization Name
- Children's Dentistry of Kenosha LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Aug 8, 2022
- Last Updated
- Aug 8, 2022
Practice Location
- Address
- 9020 76TH ST STE A
- City
- Pleasant Prairie
- State
- Wisconsin
- ZIP Code
- 53158-1976
- Phone
- (262) 577-5237
Authorized Official
- Name
- NICHOLAS VALERI
- Title
- PRESIDENT
- Phone
- (262) 496-6196
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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