| D2 Dental Of Wisconsin, S.c. | |
|
1838 S 15th St Milwaukee WI 53204-3225 | |
| (414) 455-8805 | |
| Not Available |
| Full Name | D2 Dental Of Wisconsin, S.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1838 S 15th St, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Boris Labinov (AGENT) |
| Authorized Official Contact | 7086134542 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| D2 Dental Of Wisconsin, S.c. 137 N Oak Park Ave Ste 310 Oak Park IL 60301-1339 Ph: () - | D2 Dental Of Wisconsin, S.c. 1838 S 15th St Milwaukee WI 53204-3225 Ph: (414) 455-8805 |
| NPI Number | 1245742733 |
|---|---|
| Provider Enumeration Date | 10/25/2017 |
| Last Update Date | 11/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245742733 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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