Organization
OSR DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARCHANA LEE (OWNER)
(414) 630-2100
Entity
Organization
Contact information
Practice address
2572 S 76TH ST, WEST ALLIS, WI 53219-2476
(414) 616-1986
Mailing address
2572 S 76TH ST, WEST ALLIS, WI 53219-2476
(414) 616-1986
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/27/2026
Last updated
04/27/2026
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