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
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 EquipmentCustomized Equipment
Dentist - General PracticeGeneral Practice

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