Organization · Type 2 NPI
Mequon Deer Dental, LLC
Dental Clinic/Center · Milwaukee, WI
NPI number
1164047130
Active
Practice location
7400 W Brown Deer Rd
Milwaukee, WI 53223-2078
Mailing address
8025 Excelsior Dr
Madison, WI 53717-1900
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
3 other providers at this address
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About NPI 1164047130
Mequon Deer Dental, LLC's National Provider Identifier is 1164047130, issued on Jun 15, 2020. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Milwaukee, WI. The record was last updated on Jun 15, 2020.