Organization
THE DENTIST: WHITEWATER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMAR PATTANI DDS (OWNER)
(262) 728-9330
Entity
Organization
Contact information
Practice address
128 N TRATT ST, WHITEWATER, WI 53190-1205
(262) 207-2334
Mailing address
134 S 4TH ST, DELAVAN, WI 53115-1802
(262) 728-9330
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
WI
Other
Enumeration date
01/15/2018
Last updated
01/15/2018
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