Organization
SUNST DENTAL CARE SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS M O BRIEN DDS (PRESIDENT)
(262) 544-4404
Entity
Organization
Contact information
Practice address
W247 S3114 PRAIRIE AVENUE, WAUKESHA, WI 53189
(262) 544-4404
(262) 544-4399
Mailing address
W247 S3114 PRAIRIE AVENUE, WAUKESHA, WI 53189
(262) 544-4404
(262) 544-4399
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
05/01/2007
Last updated
08/22/2020
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