| Fresh Coast Dental 3 Llc | |
|
6042 S Packard Ave Cudahy WI 53110-3028 | |
| (414) 687-9831 | |
| Not Available |
| Full Name | Fresh Coast Dental 3 Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6042 S Packard Ave, Cudahy, Wisconsin |
| Authorized Official Name and Position | Ahmed Alsallami (OWNER/DENTIST) |
| Authorized Official Contact | 4146879831 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fresh Coast Dental 3 Llc 6042 S Packard Ave Cudahy WI 53110-3028 Ph: (414) 687-9831 | Fresh Coast Dental 3 Llc 6042 S Packard Ave Cudahy WI 53110-3028 Ph: (414) 687-9831 |
| NPI Number | 1063370658 |
|---|---|
| Provider Enumeration Date | 01/12/2026 |
| Last Update Date | 01/12/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063370658 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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