| Fresh Coast Dental I Llc | |
|
4701 W National Ave West Milwaukee WI 53214-3521 | |
| (414) 687-9831 | |
| Not Available |
| Full Name | Fresh Coast Dental I Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4701 W National Ave, West Milwaukee, 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 I Llc 4701 W National Ave West Milwaukee WI 53214-3521 Ph: (414) 687-9831 | Fresh Coast Dental I Llc 4701 W National Ave West Milwaukee WI 53214-3521 Ph: (414) 687-9831 |
| NPI Number | 1639037021 |
|---|---|
| Provider Enumeration Date | 01/13/2026 |
| Last Update Date | 01/13/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639037021 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |