Organization
CHILDREN'S MEDICAL GROUP
Active
Parent organization
CHILDREN'S HOSPITAL AND HEALTH SYSTEM
Other names
Children's Dental Center - Midtown
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHILDREN'S HOSPITAL AND HEALTH SYSTEM
Authorized official
SMRITI KHARE M.D. (PRESIDENT - CHILDREN'S MEDICAL GROU)
(414) 266-6404
Entity
Organization
Contact information
Practice address
5433 W FOND DU LAC AVE, MILWAUKEE, WI 53216-1382
(414) 445-6500
(414) 445-6618
Mailing address
9000 W WISCONSIN AVE, MS 958, MILWAUKEE, WI 53226-4874
(414) 445-6500
(414) 445-6618
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
05/11/2012
Last updated
09/07/2016
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