| Dental 360 Kenosha | |
|
3726 Roosevelt Rd Kenosha WI 53142-1900 | |
| (262) 652-7956 | |
| Not Available |
| Full Name | Dental 360 Kenosha |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3726 Roosevelt Rd, Kenosha, Wisconsin |
| Authorized Official Name and Position | Ivana Bueno (DIRECTOR) |
| Authorized Official Contact | 7737989382 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental 360 Kenosha 3726 Roosevelt Rd Kenosha WI 53142-1900 Ph: () - | Dental 360 Kenosha 3726 Roosevelt Rd Kenosha WI 53142-1900 Ph: (262) 652-7956 |
| NPI Number | 1669199600 |
|---|---|
| Provider Enumeration Date | 10/20/2022 |
| Last Update Date | 10/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669199600 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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Dentacare Kenosha Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6521 Green Bay Rd, Kenosha, WI 53142 Phone: 414-306-6420 Fax: 877-335-3684 | |
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Gregory A. Santarelli Dds Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5017 Green Bay Rd Ste 138, Kenosha, WI 53144 Phone: 262-654-6770 Fax: 262-654-6727 | |
Dental Care Of Kenosha Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3715 Washington Rd, Kenosha, WI 53144 Phone: 262-237-6238 | |
Bruce F Andrekus, Dds,sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3726 Roosevelt Rd, Kenosha, WI 53142 Phone: 262-652-7956 | |
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