Organization
NJM FAMILY DENTAL
Active
Other names
Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL E MARTIN (OWNER)
(414) 517-6040
Entity
Organization
Contact information
Practice address
5954 S 27TH ST, MILWAUKEE, WI 53221-4803
(414) 282-4230
Mailing address
5954 S 27TH ST, MILWAUKEE, WI 53221-4803
(414) 282-4230
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/08/2021
Last updated
04/08/2021
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