Organization
BAGGOTT DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY CHARLES BAGGOTT DDS (OWNER DENTIST)
(262) 490-1232
Entity
Organization
Contact information
Practice address
3365 S. 103RD ST., STE 220, MILWAUKEE, WI 53227
(414) 543-9911
(414) 543-9911
Mailing address
3365 S. 103RD ST., STE 220, MILWAUKEE, WI 53227
(414) 543-9911
(414) 543-9911
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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