Organization
AFFORDABLE DENTURES & IMPLANTS - KENOSHA III, S.C.
Active
Other names
Affordable Dentures & Implants - Kenosha
Organization subpart
No
Provider details
NPI number
Authorized official
ZAHIR SIDDIQUI DMD (MANAGING DENTIST)
(262) 694-6360
Entity
Organization
Contact information
Practice address
10347 77TH ST STE 630, PLEASANT PRAIRIE, WI 53158-1138
(262) 694-6360
Mailing address
10347 77TH ST STE 630, PLEASANT PRAIRIE, WI 53158-1138
(262) 694-6360
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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