Organization
DENTAL HEALTH PROFESSIONALS OF WISCONSIN, S.C.
Active
Parent organization
DENTAL HEALTH PROFESSIONALS OF WISCONSIN, S.C.
Other names
Kind Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL HEALTH PROFESSIONALS OF WISCONSIN, S.C.
Authorized official
HANNAH FISH (CREDENTIALING MANAGER)
(217) 540-5699
Entity
Organization
Contact information
Practice address
4445 TAYLOR AVE STE 1, MOUNT PLEASANT, WI 53405-4642
(262) 554-1600
Mailing address
4445 TAYLOR AVE STE 1, MOUNT PLEASANT, WI 53405-4642
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/10/2021
Last updated
09/18/2023
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