Organization
DENTAL 360 GREENFIELD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVANA BUENO (DIRECTOR)
(773) 798-9382
Entity
Organization
Contact information
Practice address
3670 S 108TH ST STE B200, GREENFIELD, WI 53228-1210
(414) 837-5989
Mailing address
3670 S 108TH ST STE B200, GREENFIELD, WI 53228-1210
(414) 837-5989
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/13/2026
Last updated
02/13/2026
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