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Organization
BURLEIGH DENTAL, SC
Active
Organization
BURLEIGH DENTAL, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL DONOHOO DDS (PRESIDENT)
(414) 444-4334
Entity
Organization
Contact information
Practice address
7623 W BURLEIGH ST, MILWAUKEE, WI 53222-5001
(414) 444-4334
(414) 444-3222
Mailing address
7623 W BURLEIGH ST, MILWAUKEE, WI 53222-5001
(414) 444-4334
(414) 444-3222
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2503
WI
Other
Enumeration date
05/24/2005
Last updated
09/10/2008
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