Organization
GRANDVIEW DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN EDWARD AIUPPA DMD (DENTIST)
(414) 412-8948
Entity
Organization
Contact information
Practice address
811 N GRANDVIEW BLVD, WAUKESHA, WI 53188-2803
(414) 412-8948
Mailing address
5449 S SUNNY SLOPE RD, NEW BERLIN, WI 53151-8075
(414) 412-8948
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/29/2023
Last updated
09/29/2023
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