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Organization

BELGIUM FAMILY DENTAL

Active
Other names
East Towne Dental Associates
Organization subpart
No

Provider details

NPI number
Authorized official
DR. VALI KIAIE D.D.S. (DOCTOR/OWNER)
(262) 285-3408
Entity
Organization

Contact information

Practice address
171 MAIN ST, BELGIUM, WI 53004-9715
(262) 285-3408
(262) 285-4025
Mailing address
171 MAIN ST, BELGIUM, WI 53004-9715
(262) 285-3408
(262) 285-4025

Taxonomy

Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
1001078-15
WI

Other

Enumeration date
05/22/2015
Last updated
05/22/2015
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