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Edp Of Wisconsin, Sc
Dental Clinic/Center in Hartland, Wisconsin
NPI 1639685779

Edp Of Wisconsin, Sc is a Dental Clinic/Center based in Chicago, WI and is specialized in Dental. Edp Of Wisconsin, Sc practices in Hartland, WI. The NPI Number for Edp Of Wisconsin, Sc is 1639685779 and holds a License No. (Wisconsin).

The current practice location address for Edp Of Wisconsin, Sc is 600 Hartbrook Dr Stop 7, Hartland, WI and can be reached out via phone at 262-367-0680.

Location: 600 Hartbrook Dr Stop 7, Hartland, WI, 60604-3048
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639685779
Provider Name
Edp Of Wisconsin, Sc
Credential
Provider Entity Type
Organization
Address
600 Hartbrook Dr Stop 7, Hartland, WI, 60604-3048
Phone Number
262-367-0680
Fax Number
Provider Enumeration Date
12/27/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
600 Hartbrook Dr Stop 7
City
Hartland
State
Wisconsin
Zip
53029-1436
Phone Number
262-367-0680
Fax Number
person
Provider Business Mailing Address Details
Address
600 Hartbrook Dr Stop 7
City
Hartland
State
Wisconsin
Zip
53029-1436
Phone Number
262-367-0680
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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