Organization
SUNSET DENTAL CARE SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS M O'BRIEN DDS (PRESIDENT)
(262) 544-4404
Entity
Organization
Contact information
Practice address
W247S3114 PRAIRIE AVE, WAUKESHA, WI 53189-7321
(262) 544-4404
(262) 544-4399
Mailing address
W247S3114 PRAIRIE AVE, WAUKESHA, WI 53189-7321
(262) 544-4404
(262) 544-4399
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
1317G
WI
1223G0001X
General Practice Dentistry
4606
WI
1223G0001X
General Practice Dentistry
Primary
5057
WI
Other
Enumeration date
10/24/2006
Last updated
08/22/2020
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