| Third Ward Dental, SC | |
|
219 N Milwaukee St Fl 5 Milwaukee WI 53202-5818 | |
| (414) 273-9800 | |
| (414) 273-9807 |
| Full Name | Third Ward Dental, SC |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 219 N Milwaukee St Fl 5, Milwaukee, Wisconsin |
| Authorized Official Name and Position | John R. Moser (PRESIDENT) |
| Authorized Official Contact | 4142739800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Third Ward Dental, SC 219 N Milwaukee St Fl 5 Milwaukee WI 53202-5818 Ph: (414) 273-9800 | Third Ward Dental, SC 219 N Milwaukee St Fl 5 Milwaukee WI 53202-5818 Ph: (414) 273-9800 |
| NPI Number | 1285788349 |
|---|---|
| Provider Enumeration Date | 01/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285788349 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 3071 (Wisconsin) | Primary |
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