Organization
EMERGENCY DENTAL OF MILWAUKEE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERTO MONTEAGUDO DDS (CLINICAL DIRECTOR/PROVIDER)
(414) 383-5833
Entity
Organization
Contact information
Practice address
1469 S 70TH ST, WEST ALLIS, WI 53214-4814
(414) 383-5833
(414) 383-0233
Mailing address
1469 S 70TH ST, WEST ALLIS, WI 53214-4814
(414) 383-5833
(414) 383-0233
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4186
WI
Other
Enumeration date
06/14/2016
Last updated
06/14/2016
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