Organization
GREENFIELD OPTIMAL DENTAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMMANUEL IGWIKE DDS (MANAGER/PART OWNER)
(414) 837-5989
Entity
Organization
Contact information
Practice address
3670 S 108TH ST, GREENFIELD, WI 53228-1206
(414) 837-5989
(414) 837-5992
Mailing address
3670 S. 108TH STREET, GREENFIELD, WI 53228
(414) 837-5989
(414) 837-5992
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5519
WI
Other
Enumeration date
04/21/2015
Last updated
04/21/2015
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