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Organization
KEYSTONE WEST ALLIS LLC WEST ALLIS DENTAL CARE
Active
Organization
KEYSTONE WEST ALLIS LLC WEST ALLIS DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY KEVIN (OPERATIONS MANAGER)
(262) 873-0510
Entity
Organization
Contact information
Practice address
7130 W GREENFIELD AVE, WEST ALLIS, WI 53214-4708
(414) 258-2500
Mailing address
PO BOX 180163, DELAFIELD, WI 53018-0163
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/18/2020
Last updated
02/18/2020
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