| Dentalworks | |
|
1300 Capitol Drive Suite A Pewaukee WI 53072-2535 | |
| (262) 691-4140 | |
| (262) 691-3359 |
| Full Name | Dentalworks |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1300 Capitol Drive, Pewaukee, Wisconsin |
| Authorized Official Name and Position | Dave Krause (TREASURER) |
| Authorized Official Contact | 8004874867 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentalworks 17300 Dallas Parkway #1070 Dallas TX 75248 Ph: (972) 755-0880 | Dentalworks 1300 Capitol Drive Suite A Pewaukee WI 53072-2535 Ph: (262) 691-4140 |
| NPI Number | 1003140070 |
|---|---|
| Provider Enumeration Date | 09/24/2009 |
| Last Update Date | 03/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003140070 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6155 (Wisconsin) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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