| Richard L Zussman DDS MS SC | |
|
8411 W Lincoln Avenue West Allis WI 53227 | |
| (414) 321-7240 | |
| (414) 321-9754 |
| Full Name | Richard L Zussman DDS MS SC |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 8411 W Lincoln Avenue, West Allis, Wisconsin |
| Authorized Official Name and Position | Richard Lee Zussman (PRESIDENT OF CORP ORTHODONTIST) |
| Authorized Official Contact | 4143511939 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard L Zussman DDS MS SC 8651 N Port Washington Rd Milwaukee WI 53217 Ph: (414) 351-1939 | Richard L Zussman DDS MS SC 8411 W Lincoln Avenue West Allis WI 53227 Ph: (414) 321-7240 |
| NPI Number | 1811005903 |
|---|---|
| Provider Enumeration Date | 08/28/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811005903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 5001251 (Wisconsin) | Primary |
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