Third Coast Dental LLC
NPI #1871118554 in West Allis, Wisconsin
Provider Information
- NPI Number
- 1871118554
- Entity Type
- Organization
- Organization Name
- Third Coast Dental LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jun 9, 2020
- Last Updated
- Jun 9, 2020
Practice Location
- Address
- 8531 W LINCOLN AVE
- City
- West Allis
- State
- Wisconsin
- ZIP Code
- 53227-2542
- Phone
- (414) 327-2700
Authorized Official
- Name
- ANDREA EMMERICH, DDS
- Title
- OWNER/DENTIST
- Phone
- (864) 359-0902
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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