Organization
GALLERIA WEST DENTAL S.C.
Active
Other names
Galleria West Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC W BIEDERWOLF DDS (OWNER/DENTIST/PRESIDENT)
(262) 754-2727
Entity
Organization
Contact information
Practice address
18900 W BLUEMOUND RD, SUITE 218, BROOKFIELD, WI 53045-6092
(262) 754-2727
(262) 789-6797
Mailing address
18900 W BLUEMOUND RD, BROOKFIELD, WI 53045-6092
(262) 754-2727
(262) 789-6797
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/14/2012
Last updated
07/18/2024
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