Organization
VINEYARD FAMILY DENTAL,S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHUL-HA BAIK D.D.S. (OWNER)
(414) 351-6161
Entity
Organization
Contact information
Practice address
7410 N TEUTONIA AVE, MILWAUKEE, WI 53209-2008
(414) 351-6161
(414) 351-6162
Mailing address
7410 N TEUTONIA AVE, MILWAUKEE, WI 53209-2008
(414) 351-6161
(414) 351-6162
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5791015
WI
Other
Enumeration date
11/15/2006
Last updated
08/22/2020
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