| North Shore Audubon Dental, Llc | |
|
555 W Brown Deer Rd Ste 210 Milwaukee WI 53217-6204 | |
| (414) 352-7700 | |
| Not Available |
| Full Name | North Shore Audubon Dental, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 555 W Brown Deer Rd Ste 210, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Christopher John Tamsen (OWNER) |
| Authorized Official Contact | 4149401630 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Shore Audubon Dental, Llc 555 W Brown Deer Rd Ste 210 Milwaukee WI 53217-6204 Ph: (414) 352-7700 | North Shore Audubon Dental, Llc 555 W Brown Deer Rd Ste 210 Milwaukee WI 53217-6204 Ph: (414) 352-7700 |
| NPI Number | 1053292060 |
|---|---|
| Provider Enumeration Date | 09/09/2025 |
| Last Update Date | 09/09/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053292060 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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