Organization
MILWAUKEE FAMILY DENTAL CLINIC, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE LUIS BARTOLOMEI D.D.S. (OWNER/PRESIDENT)
(414) 431-1595
Entity
Organization
Contact information
Practice address
4000 W HOWARD AVE, GREENFIELD, WI 53221-1045
(414) 431-1595
(414) 431-1876
Mailing address
4000 W HOWARD AVE, GREENFIELD, WI 53221-1045
(414) 431-1595
(414) 431-1876
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4742
WI
Other
Enumeration date
08/31/2006
Last updated
08/22/2020
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