Organization
DENTAL 360 WAUKESHA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REEMA BABAR (SOLE MEMBER)
(262) 232-8461
Entity
Organization
Contact information
Practice address
442 W SUNSET DR, WAUKESHA, WI 53189-7407
(262) 232-8461
Mailing address
444 W SUNSET DR, WAUKESHA, WI 53189-7407
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/23/2021
Last updated
09/05/2023
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