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Organization
WAUKESHA COUNTY COMMUNITY DENTAL CLINIC, INC.
Active
Organization
WAUKESHA COUNTY COMMUNITY DENTAL CLINIC, INC.
Active
Parent organization
WAUKESHA COUNTY COMMUNITY DENTAL CLINIC
Other names
Waukesha County Community Dental Clinic - Menomonee Falls, Waukesha County Community Dental Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
WAUKESHA COUNTY COMMUNITY DENTAL CLINIC
Authorized official
RENEE RAMIREZ (EXECUTIVE DIRECTOR)
(262) 953-4699
Entity
Organization
Contact information
Practice address
N81W15062 APPLETON AVE, MENOMONEE FALLS, WI 53051
(262) 953-4699
(262) 522-2828
Mailing address
210 NW BARSTOW ST STE 305, WAUKESHA, WI 53188-3771
(262) 953-4699
(262) 522-2828
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38398500
—
WI
Enumeration date
03/09/2018
Last updated
08/10/2018
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