Individual
DR. MATTHEW SAM BINNINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3104 N 93RD ST, MILWAUKEE, WI 53222-3559
(414) 442-3360
(414) 442-3360
Mailing address
N106W17075 REDWOOD LN, GERMANTOWN, WI 53022-3969
(262) 424-8592
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5623-015
WI
Other
Enumeration date
06/04/2007
Last updated
11/14/2009
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