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Organization

RSS WILLIAM CONNER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SARA MARIE BROWN (DIRECTOR OF REVENUE CYCLE)
(225) 266-8010
Entity
Organization

Contact information

Practice address
15455 W BLUEMOUND RD STE 250, BROOKFIELD, WI 53005
Mailing address
1050 TEXAN TRL STE 300, GRAPEVINE, TX 76051-3759
(469) 778-6114
(866) 300-4682

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1223G0001X
General Practice Dentistry

Other

Enumeration date
06/28/2017
Last updated
09/04/2018
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