Organization
DOCTORS' DENTURE SYSTEMS SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK J KNEEPKENS DDS (PRESIDENT)
(414) 463-5480
Entity
Organization
Contact information
Practice address
9008 W BURLEIGH ST, MILWAUKEE, WI 53222-3632
(414) 463-5480
(414) 463-8003
Mailing address
9008 W BURLEIGH ST, MILWAUKEE, WI 53222-3632
(414) 463-5480
(414) 463-8003
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2614
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38372300
—
WI
Enumeration date
08/14/2007
Last updated
09/27/2011
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