Organization
THE FAMILY DENTISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN R ULLOA D.M.D. (OWNER)
(262) 878-1500
Entity
Organization
Contact information
Practice address
1680 15TH AVE, UNION GROVE, WI 53182-1525
(262) 878-1500
(262) 878-4782
Mailing address
1680 15TH AVE, UNION GROVE, WI 53182-1525
(262) 878-1500
(262) 878-4782
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4398
WI
Other
Enumeration date
11/14/2006
Last updated
08/22/2020
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