Organization · Type 2 NPI
Glendale Dental LLC
Dental Clinic/Center · Glendale, WI
NPI number
1710478557
Active
Practice location
5150 N Port Washington Rd Ste 201
Glendale, WI 53217-5400
Fax (414) 964-8918
Mailing address
920 Indian Spring Dr
Delafield, WI 53018-2242
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 6886 (WI) |
Dental Clinic/Center: Definition to come...
3 other providers at this address
Other dental clinic/center providers in Glendale
About NPI 1710478557
Glendale Dental LLC's National Provider Identifier is 1710478557, issued on May 29, 2018. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Glendale, WI. The record was last updated on May 29, 2018.