Fresh Coast Dental 2 LLC
NPI #1700744398 in New Berlin, Wisconsin
Provider Information
- NPI Number
- 1700744398
- Entity Type
- Organization
- Organization Name
- Fresh Coast Dental 2 LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 12, 2026
- Last Updated
- Jan 12, 2026
Practice Location
- Address
- 4010 S CHURCH DR
- City
- New Berlin
- State
- Wisconsin
- ZIP Code
- 53151-5608
- Phone
- (551) 216-7433
Authorized Official
- Name
- DR. TUSHAR CHIMANBHAI THUMMAR, DMD
- Title
- MEMBER/PARTNER
- Phone
- (551) 216-7433
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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