# MIER DENTAL ASSOCIATES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437737673
- **Authorized official:** MS. VANESSA GONZALEZ (PRESIDENT)
- **Authorized official phone:** (949) 335-8569

## Contact information

- **Practice address:** 3216 S 92ND ST STE 104, MILWAUKEE, WI 53227-4577
- **Practice address phone:** (414) 885-6140
- **Mailing address:** 3216 S 92ND ST STE 104, MILWAUKEE, WI 53227-4577
- **Mailing address phone:** (414) 885-6140

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |
| 261Q00000X | Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 03/30/2021
- **Last updated:** 04/09/2021