Organization
DENTAL CASTLE INC
Active
Other names
Swan Dental
Organization subpart
No
Provider details
NPI number
Authorized official
WAEL SHAHSHOUH (VICE PRESIDENT)
(414) 258-2216
Entity
Organization
Contact information
Practice address
2669 N SWAN BLVD, WAUWATOSA, WI 53226-1800
(414) 258-2216
(414) 258-9466
Mailing address
2669 N SWAN BLVD, WAUWATOSA, WI 53226-1800
(414) 258-2216
(414) 258-9466
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019029338
WI
Other
Enumeration date
11/01/2015
Last updated
11/01/2015
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