Organization
MEQUON DENTAL ARTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID MICHAEL GLINCHER (OFFICE ADMINISTRATOR)
(262) 241-5558
Entity
Organization
Contact information
Practice address
10033 N PT WASHINGTON RD STE 150, MEQUON, WI 53092-5761
(262) 241-5558
Mailing address
10033 N PT WASHINGTON RD STE 150, MEQUON, WI 53092-5761
(262) 241-5558
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/20/2026
Last updated
07/20/2026
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