Organization
OAK CREEK DENTAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL RICHARD KOESTER DDS (OWNER/MANAGER)
(414) 762-9010
Entity
Organization
Contact information
Practice address
132 E DREXEL AVE, OAK CREEK, WI 53154-2123
(414) 762-9010
(414) 570-5492
Mailing address
132 E DREXEL AVE, OAK CREEK, WI 53154-2123
(414) 762-9010
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2481-15
WI
Other
Enumeration date
03/05/2015
Last updated
03/05/2015
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