| Dental 360 Waukesha Llc | |
|
442 W Sunset Dr Waukesha WI 53189-7407 | |
| (262) 232-8461 | |
| Not Available |
| Full Name | Dental 360 Waukesha Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 442 W Sunset Dr, Waukesha, Wisconsin |
| Authorized Official Name and Position | Reema Babar (SOLE MEMBER) |
| Authorized Official Contact | 2622328461 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental 360 Waukesha Llc 444 W Sunset Dr Waukesha WI 53189-7407 Ph: () - | Dental 360 Waukesha Llc 442 W Sunset Dr Waukesha WI 53189-7407 Ph: (262) 232-8461 |
| NPI Number | 1215527247 |
|---|---|
| Provider Enumeration Date | 01/23/2021 |
| Last Update Date | 09/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215527247 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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