Organization
LITTLE SPROUTS DENTAL, LLC
Active
Other names
Little Sprouts Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW H. LANGEWISCH D.D.S. (MANAGING MEMBER)
(262) 297-0079
Entity
Organization
Contact information
Practice address
W62N563 WASHINGTON AVE, LOWER LEVEL, CEDARBURG, WI 53012-1986
(262) 297-0079
Mailing address
W62N563 WASHINGTON AVE, LOWER LEVEL, CEDARBURG, WI 53012-1986
(262) 297-0079
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
5824-15
WI
Other
Enumeration date
03/13/2013
Last updated
03/13/2013
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