| Advanced Dental Care Clinic Sc | |
|
62 S Pleasant View Road Plymouth WI 53073 | |
| (920) 892-8466 | |
| Not Available |
| Full Name | Advanced Dental Care Clinic Sc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 62 S Pleasant View Road, Plymouth, Wisconsin |
| Authorized Official Name and Position | Hooman Sereshki (OWNER) |
| Authorized Official Contact | 9208928466 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Dental Care Clinic Sc 62 S Pleasant View Rd Plymouth WI 53073-4954 Ph: () - | Advanced Dental Care Clinic Sc 62 S Pleasant View Road Plymouth WI 53073 Ph: (920) 892-8466 |
| NPI Number | 1396258752 |
|---|---|
| Provider Enumeration Date | 11/08/2017 |
| Last Update Date | 12/13/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396258752 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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