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Organization

FAMILY DENTAL ARTS, S.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHAD M GREVING (OWNER)
(262) 723-2900
Entity
Organization

Contact information

Practice address
209 COMMERCE CT, ELKHORN, WI 53121-4371
(262) 723-2900
(262) 723-6360
Mailing address
209 COMMERCE CT, ELKHORN, WI 53121-4371
(262) 723-2900
(262) 723-6360

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5608
WI

Other

Enumeration date
06/12/2007
Last updated
10/02/2007
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