Organization
CAPUTO DENTAL WI SC
Active
Other names
Windsor Park Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM A CAPUTO DMD (OWNER AND SOLE MEMBER)
(224) 595-0942
Entity
Organization
Contact information
Practice address
N28W23000 ROUNDY DR STE 100, PEWAUKEE, WI 53072-7300
(262) 970-0111
Mailing address
N28W23000 ROUNDY DR STE 100, PEWAUKEE, WI 53072-7300
(262) 970-0111
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
05/03/2022
Last updated
01/20/2025
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