Organization
SUSSEX FAMILY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SYED REHMAN DMD (OWNER)
(847) 915-2827
Entity
Organization
Contact information
Practice address
W249N5245 EXECUTIVE DR STE 206, SUSSEX, WI 53089-4393
(243) 660-4062
Mailing address
W249N5245 EXECUTIVE DR STE 206, SUSSEX, WI 53089-4393
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1001191-15
WI
Other
Enumeration date
08/17/2018
Last updated
10/08/2020
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