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Wisconsin Dental Group, S.c.
Pediatric Dentist in Glendale, Wisconsin
NPI 1265562631

Wisconsin Dental Group, S.c. is a Pediatric Dentist based in Glendale, WI and is specialized in Pediatric Dentistry. Wisconsin Dental Group, S.c. practices in Glendale, WI. The NPI Number for Wisconsin Dental Group, S.c. is 1265562631 and holds a License No. (Wisconsin).

The current practice location address for Wisconsin Dental Group, S.c. is 7040 N Port Washington Rd Ste 414, Glendale, WI and can be reached out via phone at 920-212-4641 and via fax at 920-954-9080.

Location: 7040 N Port Washington Rd Ste 414, Glendale, WI, 53217-3885
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1265562631
Provider Name
Wisconsin Dental Group, S.c.
Credential
Provider Entity Type
Organization
Address
7040 N Port Washington Rd Ste 414, Glendale, WI, 53217-3885
Phone Number
920-212-4641
Fax Number
920-954-9080
Provider Enumeration Date
03/06/2007
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
7040 N Port Washington Rd Ste 414
City
Glendale
State
Wisconsin
Zip
53217-3885
Phone Number
920-212-4641
Fax Number
920-954-9080
person
Provider Business Mailing Address Details
Address
7040 N Port Washington Rd Ste 414
City
Glendale
State
Wisconsin
Zip
53217-3885
Phone Number
920-212-4641
Fax Number
920-954-9080
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
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Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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