Organization
CENTER FOR COSMETIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER K SKRENES (INSURANCE COORDINATOR)
(608) 827-6453
Entity
Organization
Contact information
Practice address
2275 DEMING WAY, SUITE 180, MIDDLETON, WI 53562-5527
(608) 827-6453
(608) 824-9927
Mailing address
2275 DEMING WAY, SUITE 180, MIDDLETON, WI 53562-5527
(608) 827-6453
(608) 824-9927
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2887
WI
Other
Enumeration date
11/13/2006
Last updated
08/22/2020
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