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Organization
GREATER MILWAUKEE ORAL SURGERY, LLC
Active
Organization
GREATER MILWAUKEE ORAL SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT JOHN GOECKERMANN DDS (OWNER)
(414) 281-3344
Entity
Organization
Contact information
Practice address
6800 WEST LAYTON AVENUE, GREENFIELD, WI 53220-4364
(414) 281-3344
(414) 281-1080
Mailing address
6800 WEST LAYTON AVENUE, GREENFIELD, WI 53220-4364
(414) 281-3344
(414) 281-1080
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
5910-15
WI
Other
Enumeration date
08/27/2018
Last updated
08/30/2023
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