DR. Andrew Dentino, DDS, PHD
NPI #1871693747 in West Allis, Wisconsin
Provider Information
- NPI Number
- 1871693747
- Entity Type
- Individual
- Name
- DR. Andrew Dentino, DDS, PHD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - Periodontics
- Credential
- DDS, PHD
- Enumeration Date
- Sep 22, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 555 S 108TH ST
- City
- West Allis
- State
- Wisconsin
- ZIP Code
- 53214-1100
- Phone
- (414) 566-6400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Periodontics — Periodontics |
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Organizations
| Provider Name | |
|---|---|
| American Dental Specialty Institute, Sc |
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