Omalley Dentistry Sc

NPI #1750468732 in Greenfield, Wisconsin

Provider Information

NPI Number: 1750468732
Entity Type: Organization
Organization Name: Omalley Dentistry Sc
Primary Specialty: Dentist
Enumeration Date: Nov 1, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 8555 W FOREST HM AVE
Address 2: SUITE 101
City: Greenfield
State: Wisconsin
ZIP Code: 53228
Phone: (414) 425-4005

Authorized Official

Name: GLEN MARTIN OMALLEY, DDS
Title: DENTIST OWNER
Phone: (414) 425-4005

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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