Organization
TRANQUIL PROPHY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LIEN JANICK RDH (HYGIENIST)
(414) 982-9163
Entity
Organization
Contact information
Practice address
3717 S 56TH ST, GREENFIELD, WI 53220-2046
(414) 982-9163
Mailing address
3717 S 56TH ST, GREENFIELD, WI 53220-2046
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/29/2022
Last updated
11/29/2022
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