| The Dentist: Whitewater, Llc | |
|
128 N Tratt St Whitewater WI 53190-1205 | |
| (262) 207-2334 | |
| Not Available |
| Full Name | The Dentist: Whitewater, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 128 N Tratt St, Whitewater, Wisconsin |
| Authorized Official Name and Position | Amar Pattani (OWNER) |
| Authorized Official Contact | 2627289330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Dentist: Whitewater, Llc 134 S 4th St Delavan WI 53115-1802 Ph: (262) 728-9330 | The Dentist: Whitewater, Llc 128 N Tratt St Whitewater WI 53190-1205 Ph: (262) 207-2334 |
| NPI Number | 1164930970 |
|---|---|
| Provider Enumeration Date | 01/15/2018 |
| Last Update Date | 01/15/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164930970 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (Wisconsin) | Primary |
Whitewater Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1515 W Main St, Whitewater, WI 53190 Phone: 262-473-3700 |