| Little Sprouts Dental | |
|
W62n563 Washington Ave Lower Level Cedarburg WI 53012-1986 | |
| (262) 297-0079 | |
| Not Available |
| Full Name | Little Sprouts Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | W62n563 Washington Ave, Cedarburg, Wisconsin |
| Authorized Official Name and Position | Matthew H. Langewisch (MANAGING MEMBER) |
| Authorized Official Contact | 2622970079 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Little Sprouts Dental W62n563 Washington Ave Lower Level Cedarburg WI 53012-1986 Ph: (262) 297-0079 | Little Sprouts Dental W62n563 Washington Ave Lower Level Cedarburg WI 53012-1986 Ph: (262) 297-0079 |
| NPI Number | 1417298696 |
|---|---|
| Provider Enumeration Date | 03/13/2013 |
| Last Update Date | 03/13/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417298696 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 5824-15 (Wisconsin) | Primary |
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