Organization
GREENDALE DENTAL ASSOCIATES, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT WILLIAM ANDERSON D.D.S. (SECRETARY)
(414) 421-2303
Entity
Organization
Contact information
Practice address
220A E COMMERCE CT, ELKHORN, WI 53121-4371
(262) 723-3224
(262) 723-2954
Mailing address
5808 BROAD ST, GREENDALE, WI 53129-2404
(414) 421-2303
(414) 421-2576
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/23/2007
Last updated
08/22/2020
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