Organization
ZIOLKOWSKI DENTAL S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH ALAN ZIOLKOWSKI DDS (PRESIDENT)
(414) 962-0389
Entity
Organization
Contact information
Practice address
3970 N OAKLAND AVE STE 403, SHOREWOOD, WI 53211-2265
(414) 962-0389
(414) 962-4803
Mailing address
3970 N OAKLAND AVE STE 403, SHOREWOOD, WI 53211-2265
(414) 962-0389
(414) 962-4803
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2991-015
WI
Other
Enumeration date
03/13/2007
Last updated
08/22/2020
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