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Organization
WAUKESHA PEDIATRIC DENTAL CARE SC
Active
Organization
WAUKESHA PEDIATRIC DENTAL CARE SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSANN B NORWICK DDS MS (DR CEO)
(262) 542-8402
Entity
Organization
Contact information
Practice address
2727 N GRANDVIEW BLVD, SUITE 206, WAUKESHA, WI 53188-1671
(262) 542-8402
(262) 542-4436
Mailing address
2727 N GRANDVIEW BLVD, SUITE 206, WAUKESHA, WI 53188-1671
(262) 542-8402
(262) 542-4436
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
NULL
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
02/07/2007
Last updated
08/22/2020
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