| Behrend Family Dentistry And Associates, S.c. | |
|
2481 Executive Dr East Troy WI 53120-2579 | |
| (262) 642-5695 | |
| Not Available |
| Full Name | Behrend Family Dentistry And Associates, S.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2481 Executive Dr, East Troy, Wisconsin |
| Authorized Official Name and Position | Maxwell Weitzel Behrend (PRESIDENT) |
| Authorized Official Contact | 2192993089 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behrend Family Dentistry And Associates, S.c. 2713 Burries Rd Hartland WI 53029-9352 Ph: (219) 299-3089 | Behrend Family Dentistry And Associates, S.c. 2481 Executive Dr East Troy WI 53120-2579 Ph: (262) 642-5695 |
| NPI Number | 1346071859 |
|---|---|
| Provider Enumeration Date | 08/08/2024 |
| Last Update Date | 08/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346071859 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
East Troy Family Dental Center Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2481 Executive Dr, East Troy, WI 53120 Phone: 262-642-5695 Fax: 262-642-5395 | |
Wanezek Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: W3278 Main Street, East Troy, WI 53120 Phone: 262-642-5881 Fax: 262-642-7252 |