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Organization
SCHMIDT DENTAL HOLDINGS LLC
Active
Organization
SCHMIDT DENTAL HOLDINGS LLC
Active
Other names
Joseph Schell DDS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEREK T SCHMIDT DDS (OWNER)
(262) 490-0831
Entity
Organization
Contact information
Practice address
7430 W FOREST HOME AVE, GREENFIELD, WI 53220-3358
(414) 543-2500
Mailing address
W266S3365 HAWTHORNE HOLLOW DR, WAUKESHA, WI 53189-6218
(262) 490-0831
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/13/2019
Last updated
11/06/2020
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