Organization
GERALD L IGNACE INDIAN DENTAL CENTER, LLC
Active
Other names
GERALD L. IGNACE INDIAN HEALTH CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA SCHULNER (PROVIDER ENROLLMENT SPECIALIST)
(414) 316-5103
Entity
Organization
Contact information
Practice address
930 W HISTORIC MITCHELL ST, MILWAUKEE, WI 53204-3533
(414) 389-9526
(414) 649-2711
Mailing address
930 W HISTORIC MITCHELL ST, MILWAUKEE, WI 53204-3533
(414) 389-9526
(414) 649-2711
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/19/2017
Last updated
06/19/2025
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