| Tranquil Prophy Llc | |
|
3717 S 56th St Greenfield WI 53220-2046 | |
| (414) 982-9163 | |
| Not Available |
| Full Name | Tranquil Prophy Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3717 S 56th St, Greenfield, Wisconsin |
| Authorized Official Name and Position | Lien Janick (HYGIENIST) |
| Authorized Official Contact | 4149829163 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tranquil Prophy Llc 3717 S 56th St Greenfield WI 53220-2046 Ph: () - | Tranquil Prophy Llc 3717 S 56th St Greenfield WI 53220-2046 Ph: (414) 982-9163 |
| NPI Number | 1770293060 |
|---|---|
| Provider Enumeration Date | 11/29/2022 |
| Last Update Date | 11/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770293060 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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