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Organization

DR. MOLAR FAMILY DENTISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. SHANE D OLSON (OWNER)
(414) 431-1245
Entity
Organization

Contact information

Practice address
10375 W OKLAHOMA AVE, MILWAUKEE, WI 53227-4135
(414) 431-1245
(414) 431-1951
Mailing address
10375 W OKLAHOMA AVE, MILWAUKEE, WI 53227-4135
(414) 431-1245
(414) 431-1951

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
08/02/2010
Last updated
08/02/2010
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