Organization
GLENDALE OPTIMAL DENTAL CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMMANUEL IGWIKE DDS (PRESIDENT)
(414) 217-8236
Entity
Organization
Contact information
Practice address
6191 N GREEN BAY AVE, GLENDALE, WI 53209-3813
(414) 404-6464
(414) 404-6499
Mailing address
6191 N GREEN BAY AVE, GLENDALE, WI 53209-3813
(414) 404-6464
(414) 404-6499
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/26/2024
Last updated
12/26/2024
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