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Wisconsin Dental Group, S.c.
Pediatric Dentist in Menomonee Falls, Wisconsin
NPI 1578693149

Wisconsin Dental Group, S.c. is a Pediatric Dentist based in Menomonee Falls, WI and is specialized in Pediatric Dentistry. Wisconsin Dental Group, S.c. practices in Menomonee Falls, WI. The NPI Number for Wisconsin Dental Group, S.c. is 1578693149 and holds a License No. (Wisconsin).

The current practice location address for Wisconsin Dental Group, S.c. is N80W17707 Custer Ln, Menomonee Falls, WI and can be reached out via phone at 262-524-9893 and via fax at 262-524-9225.

Location: N80W17707 Custer Ln, Menomonee Falls, WI, 53051-3630
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1578693149
Provider Name
Wisconsin Dental Group, S.c.
Credential
Provider Entity Type
Organization
Address
N80W17707 Custer Ln, Menomonee Falls, WI, 53051-3630
Phone Number
262-524-9893
Fax Number
262-524-9225
Provider Enumeration Date
03/06/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
N80W17707 Custer Ln
City
Menomonee Falls
State
Wisconsin
Zip
53051-3630
Phone Number
262-524-9893
Fax Number
262-524-9225
person
Provider Business Mailing Address Details
Address
N80W17707 Custer Ln
City
Menomonee Falls
State
Wisconsin
Zip
53051-3630
Phone Number
262-524-9893
Fax Number
262-524-9225
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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