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The Kids Dentist Llc
Pediatric Dentist in Mequon, Wisconsin
NPI 1407257108

The Kids Dentist Llc is a Pediatric Dentist based in Mequon, WI and is specialized in Pediatric Dentistry. The Kids Dentist Llc practices in Mequon, WI. The NPI Number for The Kids Dentist Llc is 1407257108 and holds a License No. 5127-015 (Wisconsin).

The current practice location address for The Kids Dentist Llc is 10618 N Port Washington Rd, Mequon, WI and can be reached out via phone at 262-241-0400.

Location: 10618 N Port Washington Rd, Mequon, WI, 53092-5013
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1407257108
Provider Name
The Kids Dentist Llc
Credential
Provider Entity Type
Organization
Address
10618 N Port Washington Rd, Mequon, WI, 53092-5013
Phone Number
262-241-0400
Fax Number
Provider Enumeration Date
09/12/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10618 N Port Washington Rd
City
Mequon
State
Wisconsin
Zip
53092-5013
Phone Number
262-241-0400
Fax Number
person
Provider Business Mailing Address Details
Address
10618 N Port Washington Rd
City
Mequon
State
Wisconsin
Zip
53092-5013
Phone Number
262-241-0400
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
5127-015 (Wisconsin)
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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