Organization
FRESH COAST DENTAL 2 LLC
Active
Other names
FRESH COAST DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TUSHAR CHIMANBHAI THUMMAR DMD (MEMBER/PARTNER)
(551) 216-7433
Entity
Organization
Contact information
Practice address
4010 S CHURCH DR, NEW BERLIN, WI 53151-5608
(551) 216-7433
Mailing address
4010 S CHURCH DR, NEW BERLIN, WI 53151-5608
(551) 216-7433
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/12/2026
Last updated
01/12/2026
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