American Dental Professional Services, LLC
Clinic/Center, Dental in Milwaukee, WI. Organization (NPI-2).
NPI number1215074604
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1215074604
- Entity type
- Organization (NPI-2)
- Legal business name
- American Dental Professional Services, LLC
- Organization subpart
- No
- Enumeration date
- Feb 1, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Practice location
9054 N Deerbrook TrlMilwaukee, WI 53223-2474
Phone 414-203-2590 · Fax 414-354-1945
Mailing address
9054 N Deerbrook TrlMilwaukee, WI 53223-2474
Phone 414-203-2590 · Fax 414-354-1945
Authorized official
Terri M Lawler
President
4142032590
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