Organization
AMERICAN DENTAL SPECIALTY INSTITUTE, SC
Active
Other names
Dental Implant Institute of Wisconsin
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AHMAD ESLAMI D.M.D., M.S. (PRESIDENT)
(414) 321-7200
Entity
Organization
Contact information
Practice address
2323 S 109TH ST, SUITE 275, WEST ALLIS, WI 53227-1909
(414) 321-7200
(414) 321-3232
Mailing address
2323 S 109TH ST, SUITE 275, WEST ALLIS, WI 53227-1909
(414) 321-7200
(414) 321-3232
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
3218
WI
Other
Enumeration date
06/17/2007
Last updated
08/22/2020
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