Organization
AFFORDABLE DENTURES - MILWAUKEE III, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNIE RIVERA (DDS/PRACTICE OWNER)
(414) 604-2055
Entity
Organization
Contact information
Practice address
6015 W FOREST HOME AVE, UNIT 1, MILWAUKEE, WI 53220-1992
(414) 604-2055
Mailing address
6015 W FOREST HOME AVE, UNIT 1, MILWAUKEE, WI 53220-1992
(414) 604-2055
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6587-15
OH
Other
Enumeration date
01/12/2016
Last updated
01/12/2016
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