Organization
MILWAUKEE DENTAL ARTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB FERRIS (DENTIST)
(262) 490-5802
Entity
Organization
Contact information
Practice address
2700 W LINCOLN AVE, MILWAUKEE, WI 53215-2455
(262) 490-5802
(262) 490-5802
Mailing address
20 SUTPHIN ST APT 305, DULUTH, MN 55802-2622
(262) 490-5802
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/30/2017
Last updated
08/30/2017
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