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Glendale Dental Llc
Dental Clinic/Center in Glendale, Wisconsin
NPI 1710478557

Glendale Dental Llc is a Dental Clinic/Center based in Delafield, WI and is specialized in Dental. Glendale Dental Llc practices in Glendale, WI. The NPI Number for Glendale Dental Llc is 1710478557 and holds a License No. 6886 (Wisconsin).

The current practice location address for Glendale Dental Llc is 5150 N Port Washington Rd Ste 201, Glendale, WI and can be reached out via phone at 414-964-8850 and via fax at 414-964-8918.

Location: 5150 N Port Washington Rd Ste 201, Glendale, WI, 53018-2242
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1710478557
Provider Name
Glendale Dental Llc
Credential
Provider Entity Type
Organization
Address
5150 N Port Washington Rd Ste 201, Glendale, WI, 53018-2242
Phone Number
414-964-8850
Fax Number
414-964-8918
Provider Enumeration Date
05/29/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5150 N Port Washington Rd Ste 201
City
Glendale
State
Wisconsin
Zip
53217-5400
Phone Number
414-964-8850
Fax Number
414-964-8918
person
Provider Business Mailing Address Details
Address
5150 N Port Washington Rd Ste 201
City
Glendale
State
Wisconsin
Zip
53217-5400
Phone Number
414-964-8850
Fax Number
414-964-8918
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
6886 (Wisconsin)
Definition
Definition to come...
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