Organization
DENTAL SPECIALISTS OF MILWAUKEE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELSEY SHINGO TENGAN DDS, MS (PERIODONTIST, PARTNER)
(808) 283-1817
Entity
Organization
Contact information
Practice address
8405 W FOREST HOME AVE, GREENFIELD, WI 53228-3407
(414) 425-7710
Mailing address
8405 W FOREST HOME AVE, GREENFIELD, WI 53228-3407
(414) 425-7710
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
10/03/2018
Last updated
10/03/2018
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