Organization
DELAFIELD DENTAL LLC
Active
Other names
Delafield Dental
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY KEVIN (DIRECTOR OF OPERATIONS)
(262) 873-0510
Entity
Organization
Contact information
Practice address
920 INDIAN SPRING DR, DELAFIELD, WI 53018-2242
(262) 873-0510
Mailing address
920 INDIAN SPRING DR, DELAFIELD, WI 53018-2242
(262) 873-0510
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/13/2023
Last updated
01/13/2023
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