Glendale Dental LLC
NPI #1710478557 in Glendale, Wisconsin
Provider Information
- NPI Number
- 1710478557
- Entity Type
- Organization
- Organization Name
- Glendale Dental LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- May 29, 2018
- Last Updated
- May 29, 2018
Practice Location
Authorized Official
- Name
- CHRISTOPHER POTRYKUS, DDS
- Title
- OWNER
- Phone
- (262) 646-2771
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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