Organization · Type 2 NPI
East Troy Family Dental Center SC
Dental Clinic/Center · East Troy, WI
NPI number
1376607408
Active
Practice location
2481 Executive Dr
East Troy, WI 53120
Fax (262) 642-5395
Mailing address
PO Box 642
East Troy, WI 53120
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
4 other providers at this address
About NPI 1376607408
East Troy Family Dental Center SC's National Provider Identifier is 1376607408, issued on Dec 21, 2006. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in East Troy, WI. The record was last updated on Aug 22, 2020.