Organization
DEJ DENTAL
Active
Other names
Glo Dental Studio
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA J EMMERICH DDS (OWNER/DENTIST)
(262) 875-3304
Entity
Organization
Contact information
Practice address
N4W22370 BLUEMOUND RD STE 103, WAUKESHA, WI 53186-1683
(262) 875-3304
Mailing address
N4W22370 BLUEMOUND RD STE 103, WAUKESHA, WI 53186-1683
(262) 875-3304
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/14/2022
Last updated
09/14/2022
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