Organization
SPRING CITY FAMILY DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEREK T. SCHMIDT DDS (OWNER)
(262) 548-9600
Entity
Organization
Contact information
Practice address
707 W MORELAND BLVD, WAUKESHA, WI 53188-2400
(262) 548-9600
Mailing address
707 W MORELAND BLVD, WAUKESHA, WI 53188-2400
(262) 548-9600
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1000978-15
WI
Other
Enumeration date
05/28/2015
Last updated
05/28/2015
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