Organization · Type 2 NPI
Family & Restorative Dentistry
Dental Clinic/Center · Salem, WI
NPI number
1497276729
Active
Practice location
7137 236th Ave Ste 108
Salem, WI 53168-8975
Other practice locations
- 2909 Roosevelt Rd, Kenosha, WI 53143-4641 · (262) 657-5408
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 3667 (WI) |
Dental Clinic/Center: Definition to come...
2 other providers at this address
About NPI 1497276729
Family & Restorative Dentistry's National Provider Identifier is 1497276729, issued on Jun 27, 2017. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Salem, WI. The record was last updated on Mar 17, 2018.