Organization
AHP 005 LLC
Active
Other names
Teeth & Company
Organization subpart
No
Provider details
NPI number
Authorized official
KATE MANTAY (DIRECTOR OF OPERATIONS)
(262) 649-4900
Entity
Organization
Contact information
Practice address
N57W6296 CENTER ST, CEDARBURG, WI 53012-1906
(262) 377-5130
Mailing address
15285 WATERTOWN PLANK RD STE 200, ELM GROVE, WI 53122-2339
(262) 649-4900
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447659644
NPI
—
01
—
1780021642
NPI
—
Enumeration date
01/29/2025
Last updated
01/29/2025
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