Wisconsin Oral Surgery & Dental Implants, S.c.
NPI #1760538490 in West Allis, Wisconsin
Provider Information
- NPI Number
- 1760538490
- Entity Type
- Organization
- Organization Name
- Wisconsin Oral Surgery & Dental Implants, S.c.
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- Jan 26, 2007
- Last Updated
- Mar 29, 2021
Practice Location
- Address
- 10401 W LINCOLN AVE
- Address 2
- SUITE 101
- City
- West Allis
- State
- Wisconsin
- ZIP Code
- 53227-1255
- Phone
- (414) 327-4130
Authorized Official
- Name
- DR. ANTHONY L RAGONESE, DDS
- Title
- PRESIDENT
- Phone
- (414) 327-4130
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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