Organization
DOCTORS' DENTURE SYSTEMS SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK J KNEEPKENS DDS (PRESIDENT)
(414) 671-5720
Entity
Organization
Contact information
Practice address
501 W LINCOLN AVE, MILWAUKEE, WI 53207-1133
(414) 671-5720
(414) 671-5745
Mailing address
501 W LINCOLN AVE, MILWAUKEE, WI 53207-1133
(414) 671-5720
(414) 671-5745
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2614
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38372300
—
WI
Enumeration date
08/22/2007
Last updated
06/17/2008
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