Individual
IGOR SULIM JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2300 W GOOD HOPE RD UNIT 337, GLENDALE, WI 53209-2749
(414) 630-2236
Mailing address
2300 W GOOD HOPE RD UNIT 337, GLENDALE, WI 53209-2749
(414) 630-2236
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1001926
WI
Other
Enumeration date
11/10/2018
Last updated
11/10/2018
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