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Organization
UNION GROVE FAMILY DENTAL, LLC
Active
Organization
UNION GROVE FAMILY DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN M LENZ GALBREATH DMD (DENTIST)
(262) 930-8297
Entity
Organization
Contact information
Practice address
1680 15TH AVE, UNION GROVE, WI 53182-1525
(262) 878-1500
Mailing address
1680 15TH AVE, UNION GROVE, WI 53182-1525
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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