Organization · Type 2 NPI
MT Calvary Dental LLC
Dental Clinic/Center · Mount Calvary, WI
NPI number
1780288977
Active
Practice location
100 Evergreen Rd
Mount Calvary, WI 53057-9726
Mailing address
3500 Woodview Ln
Saukville, WI 53080-1400
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
2 other providers at this address
About NPI 1780288977
MT Calvary Dental LLC's National Provider Identifier is 1780288977, issued on Nov 28, 2020. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Mount Calvary, WI. The record was last updated on Nov 28, 2020.