Organization
DR. RALPH A. PAMENTER S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RALPH A PAMENTER DDS (PRESIDENT)
(262) 786-4119
Entity
Organization
Contact information
Practice address
17535 W NORTH AVE, BROOKFIELD, WI 53045-4343
(262) 786-4119
(262) 786-0674
Mailing address
17535 W NORTH AVE, BROOKFIELD, WI 53045-4343
(262) 786-4119
(262) 786-0674
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
5000813G
WI
Other
Enumeration date
07/17/2006
Last updated
08/22/2020
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