Organization
TRUE DENTAL WEST ALLIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REEM MAHJOUB DMD (OWNER)
(330) 717-0578
Entity
Organization
Contact information
Practice address
932 S 60TH ST, WEST ALLIS, WI 53214-3369
(414) 454-9844
Mailing address
13885 LARSEN CT, BROOKFIELD, WI 53005-5256
(330) 717-0578
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/12/2024
Last updated
11/12/2024
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