Organization
OAKBROOK DENTAL GROUP SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY J MERRY DDS (PRESIDENT)
(262) 338-0022
Entity
Organization
Contact information
Practice address
1201 OAK STREET, WEST BEND, WI 53095
(262) 335-0822
(262) 335-0814
Mailing address
1201 OAK STREET, WEST BEND, WI 53095
(262) 335-0822
(262) 335-0814
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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