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Organization
OCDC, LLC
Active
Organization
OCDC, LLC
Active
Other names
Oak Creek Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EHSAN SALEKI DDS (DENTIST)
(414) 762-9010
Entity
Organization
Contact information
Practice address
132 E DREXEL AVE, OAK CREEK, WI 53154-2123
(414) 762-9010
Mailing address
132 E DREXEL AVE, OAK CREEK, WI 53154-2123
(414) 762-9010
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
6560
WI
Other
Enumeration date
12/21/2017
Last updated
12/21/2017
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