Organization · Type 2 NPI
Keystone South Milwaukee LLC
Dental Clinic/Center · South Milwaukee, WI
NPI number
1114512225
Active
Practice location
1113 College Ave # B
South Milwaukee, WI 53172-1142
Mailing address
PO Box 180163
Delafield, WI 53018-0163
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Other dental clinic/center providers in South Milwaukee
About NPI 1114512225
Keystone South Milwaukee LLC's National Provider Identifier is 1114512225, issued on Mar 2, 2021. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in South Milwaukee, WI. The record was last updated on Mar 2, 2021.