Burlington Dental Arts LLC
Dentist, General Practice in Burlington, WI. Organization (NPI-2).
NPI number1164089751
StatusActive
Last updated in NPPESMay 20, 2019
Details
- NPI
- 1164089751
- Entity type
- Organization (NPI-2)
- Legal business name
- Burlington Dental Arts LLC
- Organization subpart
- No
- Enumeration date
- May 20, 2019
- Last updated
- May 20, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Other names
- Burlington Dental Arts (Doing Business As)
Practice location
190 Gardner Ave Ste 6Burlington, WI 53105-2160
Phone 262-763-8360
Mailing address
190 Gardner Ave Ste 6Burlington, WI 53105-2160
Phone 262-763-8360
Authorized official
Chad M Greving
Owner
2627638360
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