| King Family Dentistry | |
|
6520 W Layton Ave Greenfield WI 53220-4500 | |
| (414) 282-5560 | |
| (414) 282-6790 |
| Full Name | King Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6520 W Layton Ave, Greenfield, Wisconsin |
| Authorized Official Name and Position | Lynette Marie Laur (OFFICE MANAGER) |
| Authorized Official Contact | 4142825560 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| King Family Dentistry 6520 W Layton Ave Greenfield WI 53220-4500 Ph: (414) 282-5560 | King Family Dentistry 6520 W Layton Ave Greenfield WI 53220-4500 Ph: (414) 282-5560 |
| NPI Number | 1083929814 |
|---|---|
| Provider Enumeration Date | 08/17/2010 |
| Last Update Date | 08/17/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083929814 | NPI | - | NPPES |
| 5001352-12 | Other | WI | DENTIST |
| 5258-15 | Other | WI | DENTIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5001352-12 (Wisconsin) | Secondary |
| 1223G0001X | Dentist - General Practice | 5258-15 (Wisconsin) | Primary |
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