Organization
WISCONSIN DENTAL GROUP, S.C.
Active
Parent organization
WISCONSIN DENTAL GROUP, S.C.
Other names
ForwardDental Muskego
Organization subpart
Yes
Provider details
NPI number
Legal business name
WISCONSIN DENTAL GROUP, S.C.
Authorized official
CELIA HAYES (CREDENTIALING COORDINATOR)
(217) 540-2100
Entity
Organization
Contact information
Practice address
S76W18035 JANESVILLE RD, MUSKEGO, WI 53150-9379
(414) 475-1418
Mailing address
S76W18035 JANESVILLE RD, MUSKEGO, WI 53150-9379
(414) 475-1418
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/14/2022
Last updated
03/14/2022
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