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Organization
WISCONSIN ORAL SURGERY & DENTAL IMPLANTS, S.C.
Active
Organization
WISCONSIN ORAL SURGERY & DENTAL IMPLANTS, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY L RAGONESE DDS (PRESIDENT)
(414) 327-4130
Entity
Organization
Contact information
Practice address
10401 W LINCOLN AVE, SUITE 101, WEST ALLIS, WI 53227-1255
(414) 327-4130
(414) 327-4218
Mailing address
10401 W LINCOLN AVE, SUITE 101, WEST ALLIS, WI 53227-1255
(414) 327-4130
(414) 327-4218
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
5420-015
WI
Other
Enumeration date
01/26/2007
Last updated
03/29/2021
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