Organization
GREENWAY DENTAL CENTER S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE E WARREN DDS (PRESIDENT)
(608) 824-0824
Entity
Organization
Contact information
Practice address
8309 GREENWAY BLVD., MIDDLETON, WI 53562
(608) 824-0824
(608) 824-0827
Mailing address
8309 GREENWAY BLVD., MIDDLETON, WI 53562
(608) 824-0824
(608) 824-0827
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0477G
WI
Other
Enumeration date
05/03/2007
Last updated
08/22/2020
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