Organization
PHILLIP L. BANGLE, D.D.S. S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP L. BANGLE D.D.S. (DENTIST)
(262) 542-1662
Entity
Organization
Contact information
Practice address
1425 SUMMIT AVE, SUITE 200, WAUKESHA, WI 53188-3200
(262) 542-1662
Mailing address
1425 SUMMIT AVE, SUITE 200, WAUKESHA, WI 53188-3200
(262) 542-1662
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2318
WI
Other
Enumeration date
08/21/2006
Last updated
08/22/2020
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