Port Dental Group Sc
NPI #1801913173 in Port Washington, Wisconsin
Provider Information
- NPI Number
- 1801913173
- Entity Type
- Organization
- Organization Name
- Port Dental Group Sc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 23, 2007
- Last Updated
- Jul 6, 2020
Practice Location
- Address
- 1000 N WISCONSIN ST
- City
- Port Washington
- State
- Wisconsin
- ZIP Code
- 53074-1285
- Phone
- (262) 284-9767
Authorized Official
- Name
- MS. SAMONE AROONSAVATH
- Title
- OFFICE MANAGER
- Phone
- (262) 284-9767
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment |
| Dentist - General Practice — General Practice |
Similar Providers
| Provider Name | |
|---|---|
| Barrett Duane Straub, DDS | |
| DR. Joshua E Leute, DDS | |
| DR. Celestino F Perez, D.D.S | |
| DR. Daniel P Witkowski, DDS | |
| DR. William A Covelli, DDS |
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