Organization
WAUKESHA COUNTY COMMUNITY DENTAL CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE RAMIREZ (EXECUTIVE DIRECTOR)
(262) 522-7645
Entity
Organization
Contact information
Practice address
210 NW BARSTOW ST, SUITE 305, WAUKESHA, WI 53188-3771
(262) 522-7645
Mailing address
210 NW BARSTOW ST, SUITE 305, WAUKESHA, WI 53188-3771
(262) 522-7645
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
WI
Other
Enumeration date
04/04/2008
Last updated
07/21/2022
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