Organization
G DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN DE LA LLANZ GEQUILLANA DDS (OWNER)
(414) 649-3510
Entity
Organization
Contact information
Practice address
G DENTAL, LLC, 7635 W BLUEMOUND RD, STE 208, MILWAUKEE, WI 53213
(414) 258-6330
(414) 258-3622
Mailing address
PARKWAY DENTAL, SC, 2901 W KINNIC KINNIC RIVER PARKWAY, STE 104, MILWAUKEE, WI 53215
(414) 649-3510
(414) 385-2854
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/24/2026
Last updated
02/24/2026
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