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Organization

SUSSEX FAMILY DENTAL ASSOCIATES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
UMAR HAYAT DMD (DENTIST)
(610) 209-0325
Entity
Organization

Contact information

Practice address
W249N5245 EXECUTIVE DR STE 206, SUSSEX, WI 53089-4393
(262) 246-0100
Mailing address
W249N5245 EXECUTIVE DR STE 206, SUSSEX, WI 53089-4393
(262) 246-0100

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
11/11/2025
Last updated
11/11/2025
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