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Organization
PROVEN DENTAL LLC
Active
Organization
PROVEN DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES FRANCIS MURPHY D.D.S. (OWNER/DENTIST)
(262) 650-3000
Entity
Organization
Contact information
Practice address
1700 CORAL DR, WAUKESHA, WI 53186-1483
(262) 650-3000
(262) 650-3103
Mailing address
1700 CORAL DR, WAUKESHA, WI 53186-1483
(262) 650-3000
(262) 650-3103
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4761-15
WI
Other
Enumeration date
08/14/2014
Last updated
02/23/2015
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