Organization
FRESH COAST DENTAL 3 LLC
Active
Other names
FRESH COAST DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AHMED ALSALLAMI DDS (OWNER/DENTIST)
(414) 687-9831
Entity
Organization
Contact information
Practice address
6042 S PACKARD AVE, CUDAHY, WI 53110-3028
(414) 687-9831
Mailing address
6042 S PACKARD AVE, CUDAHY, WI 53110-3028
(414) 687-9831
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/12/2026
Last updated
01/12/2026
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