Organization
THIRD WARD DENTAL, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN R. MOSER DDS (PRESIDENT)
(414) 273-9800
Entity
Organization
Contact information
Practice address
219 N MILWAUKEE ST FL 5, MILWAUKEE, WI 53202-5818
(414) 273-9800
(414) 273-9807
Mailing address
219 N MILWAUKEE ST FL 5, MILWAUKEE, WI 53202-5818
(414) 273-9800
(414) 273-9807
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
3071
WI
Other
Enumeration date
01/23/2007
Last updated
08/22/2020
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