Organization
CHILDREN'S DENTAL CLINIC, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BALBIR R BAGGA D.D.S., M.S. (PRESIDENT)
(414) 744-3333
Entity
Organization
Contact information
Practice address
3814 S HOWELL AVE, MILWAUKEE, WI 53207-3841
(414) 744-3333
(414) 744-1155
Mailing address
3612 TURNBERRY DR, MEQUON, WI 53092-6307
(414) 744-3333
(414) 744-1155
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2545
WI
1223G0001X
General Practice Dentistry
Primary
4146
WI
1223P0221X
Pediatric Dentistry
2545
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
951942
UNITED CONCORDIA PROVIDER
WI
Enumeration date
02/07/2007
Last updated
09/11/2025
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