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Organization

VILLAGE DENTAL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SYED REHMAN DMD (OWNER)
(224) 366-0406
Entity
Organization

Contact information

Practice address
4420 W BRADLEY RD, BROWN DEER, WI 53223-3712
(224) 366-0406
Mailing address
4420 W BRADLEY RD, BROWN DEER, WI 53223-3712

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1001191-15
WI

Other

Enumeration date
08/20/2018
Last updated
08/20/2018
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