Periodontics and Implant Dentistry, LLC
NPI #1710431788 in Mount Pleasant, Wisconsin
Provider Information
- NPI Number
- 1710431788
- Entity Type
- Organization
- Organization Name
- Periodontics and Implant Dentistry, LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Aug 8, 2016
- Last Updated
- Aug 8, 2016
Practice Location
- Address
- 6754 LINDERMANN AVE
- City
- Mount Pleasant
- State
- Wisconsin
- ZIP Code
- 53406-5603
- Phone
- (262) 632-5455
Authorized Official
- Name
- DR. CHRISTOPHER G HUTTON, DDS
- Title
- SOLE MEMBER
- Phone
- (414) 369-2091
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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