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Edp Of Wisconsin, Sc
Dental Clinic/Center in Oconomowoc, Wisconsin
NPI 1033671912

Edp Of Wisconsin, Sc is a Dental Clinic/Center based in Chicago, WI and is specialized in Dental. Edp Of Wisconsin, Sc practices in Oconomowoc, WI. The NPI Number for Edp Of Wisconsin, Sc is 1033671912 and holds a License No. (Wisconsin).

The current practice location address for Edp Of Wisconsin, Sc is 820 Summit Ave, Oconomowoc, WI and can be reached out via phone at 312-800-1270.

Location: 820 Summit Ave, Oconomowoc, WI, 60604-3048
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1033671912
Provider Name
Edp Of Wisconsin, Sc
Credential
Provider Entity Type
Organization
Address
820 Summit Ave, Oconomowoc, WI, 60604-3048
Phone Number
312-800-1270
Fax Number
Provider Enumeration Date
04/01/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
820 Summit Ave
City
Oconomowoc
State
Wisconsin
Zip
53066-3973
Phone Number
312-800-1270
Fax Number
person
Provider Business Mailing Address Details
Address
820 Summit Ave
City
Oconomowoc
State
Wisconsin
Zip
53066-3973
Phone Number
312-800-1270
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
()
Definition
Definition to come...
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