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East Troy Family Dental Center Sc
Dental Clinic/Center in East Troy, Wisconsin
NPI 1376607408

East Troy Family Dental Center Sc is a Dental Clinic/Center based in East Troy, WI and is specialized in Dental. East Troy Family Dental Center Sc practices in East Troy, WI. The NPI Number for East Troy Family Dental Center Sc is 1376607408 and holds a License No. (Wisconsin).

The current practice location address for East Troy Family Dental Center Sc is 2481 Executive Dr, East Troy, WI and can be reached out via phone at 262-642-5695 and via fax at 262-642-5395.

Location: 2481 Executive Dr, East Troy, WI, 53120
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1376607408
Provider Name
East Troy Family Dental Center Sc
Credential
Provider Entity Type
Organization
Address
2481 Executive Dr, East Troy, WI, 53120
Phone Number
262-642-5695
Fax Number
262-642-5395
Provider Enumeration Date
12/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
38368500 05 WI
institution
Provider Business Practice Location Address Details
Address
2481 Executive Dr
City
East Troy
State
Wisconsin
Zip
53120
Phone Number
262-642-5695
Fax Number
262-642-5395
person
Provider Business Mailing Address Details
Address
2481 Executive Dr
City
East Troy
State
Wisconsin
Zip
53120
Phone Number
262-642-5695
Fax Number
262-642-5395
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
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Definition
Definition to come...
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