Organization · Type 2 NPI
Dental Care Providers of America
Dental Clinic/Center · Kenosha, WI
NPI number
1104207232
Active
Practice location
3715 Washington Rd
Kenosha, WI 53144-1629
Mailing address
PO Box 788
Kenosha, WI 53141-0788
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 1001058-15 (WI) |
Dental Clinic/Center: Definition to come...
Another provider at this address
Other dental clinic/center providers in Kenosha
About NPI 1104207232
Dental Care Providers of America's National Provider Identifier is 1104207232, issued on Jun 15, 2015. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Kenosha, WI. The record was last updated on Jun 15, 2015.