Organization
DENTAMED HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELAYE OKUNSERI (EXECUTIVE DIRECTOR)
(612) 568-4298
Entity
Organization
Contact information
Practice address
3900 W BROWN DEER RD, SUITE A, #212, BROWN DEER, WI 53209-1220
(612) 568-4298
Mailing address
3900 W BROWN DEER RD, SUITE A, #212, BROWN DEER, WI 53209-1220
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/09/2017
Last updated
03/09/2017
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