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Gloria T List, DDS
General Practice Dentistry in Elm Grove, Wisconsin
NPI 1760733075

Gloria T List is a General Practice Dentistry based in Elm Grove, WI and is specialized in General Practice. Gloria T List practices in Elm Grove, WI and has the professional credentials of DDS. The NPI Number for Gloria T List is 1760733075 and holds a License No. 5000062-15 (Wisconsin).

The current practice location address for Gloria T List is 13105 Watertown Plank Rd, Elm Grove, WI and can be reached out via phone at 262-787-1460 and via fax at 262-782-0093.

Location: 13105 Watertown Plank Rd, Elm Grove, WI, 53122-2213
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760733075
Provider Name
Gloria T List
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
13105 Watertown Plank Rd, Elm Grove, WI, 53122-2213
Phone Number
262-787-1460
Fax Number
262-782-0093
Provider Enumeration Date
09/26/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
13105 Watertown Plank Rd
City
Elm Grove
State
Wisconsin
Zip
53122-2213
Phone Number
262-787-1460
Fax Number
262-782-0093
person
Provider Business Mailing Address Details
Address
13105 Watertown Plank Rd
City
Elm Grove
State
Wisconsin
Zip
53122-2213
Phone Number
262-787-1460
Fax Number
262-782-0093
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
5000062-15 (Wisconsin)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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