| Forwarddental Mukwonago | |
|
214 S Rochester St Mukwonago WI 53149-1612 | |
| (414) 209-0337 | |
| (414) 209-0343 |
| Full Name | Forwarddental Mukwonago |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 214 S Rochester St, Mukwonago, Wisconsin |
| Authorized Official Name and Position | Celia Hayes (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175402100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Forwarddental Mukwonago 214 S Rochester St Mukwonago WI 53149-1612 Ph: (414) 209-0337 | Forwarddental Mukwonago 214 S Rochester St Mukwonago WI 53149-1612 Ph: (414) 209-0337 |
| NPI Number | 1992453443 |
|---|---|
| Provider Enumeration Date | 03/14/2022 |
| Last Update Date | 04/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992453443 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Riverview Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 827 S Rochester St, Ste 112, Mukwonago, WI 53149 Phone: 262-363-4141 Fax: 262-363-7209 | |
Oakwood Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 720 N Rochester St, Suite 203, Mukwonago, WI 53149 Phone: 262-363-2220 Fax: 262-363-2221 | |
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