Organization
SLADKY FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB DAVID SLADKY DDS (GENERAL DENTIST/OWNER)
(262) 227-0722
Entity
Organization
Contact information
Practice address
500 W SILVER SPRING DR STE K275, GLENDALE, WI 53217-5062
(262) 227-0722
Mailing address
500 W SILVER SPRING DR STE K275, GLENDALE, WI 53217-5062
(262) 227-0722
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/13/2016
Last updated
09/13/2016
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