Organization
BADGER DENTAL WI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYLER HART (OWNER)
(949) 305-2253
Entity
Organization
Contact information
Practice address
N56W17000 RIDGEWOOD DR, MENOMONEE FALLS, WI 53051-5660
(949) 305-2253
(949) 607-4267
Mailing address
85 ARGONAUT STE 220, ALISO VIEJO, CA 92656-4105
(949) 305-2253
(949) 607-4267
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/08/2026
Last updated
04/08/2026
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