Organization · Type 2 NPI
Proven Dental LLC
Dental Clinic/Center · Waukesha, WI
NPI number
1477952687
Active
Practice location
1700 Coral Dr
Waukesha, WI 53186-1483
Fax (262) 650-3103
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 4761-15 (WI) |
Dental Clinic/Center: Definition to come...
4 other providers at this address
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About NPI 1477952687
Proven Dental LLC's National Provider Identifier is 1477952687, issued on Aug 14, 2014. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Waukesha, WI. The record was last updated on Feb 23, 2015.