Organization
WHITNALL DENTAL
Active
Other names
Whitnall
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY KEVIN (OFFICE MANAGER)
(262) 646-2771
Entity
Organization
Contact information
Practice address
6522 S LOVERS LANE RD, FRANKLIN, WI 53132-1209
(414) 425-1101
Mailing address
920 INDIAN SPRING DR, DELAFIELD, WI 53018-2242
(262) 646-2771
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6886
WI
Other
Enumeration date
01/19/2018
Last updated
01/19/2018
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