Organization
PEDIATRIC ORAL SURGERY AND GENERAL DENTAL INC SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MURTAZA SAJAN (CEO)
(414) 732-1023
Entity
Organization
Contact information
Practice address
9134 W SILVER SPRING DR, MILWAUKEE, WI 53225-3414
(414) 210-6222
Mailing address
9134 W SILVER SPRING DR, MILWAUKEE, WI 53225-3414
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/21/2024
Last updated
03/21/2024
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