| Village Dental Llc | |
|
4420 W Bradley Rd Brown Deer WI 53223-3712 | |
| (224) 366-0406 | |
| Not Available |
| Full Name | Village Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4420 W Bradley Rd, Brown Deer, Wisconsin |
| Authorized Official Name and Position | Syed Rehman (OWNER) |
| Authorized Official Contact | 2243660406 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Village Dental Llc 4420 W Bradley Rd Brown Deer WI 53223-3712 Ph: () - | Village Dental Llc 4420 W Bradley Rd Brown Deer WI 53223-3712 Ph: (224) 366-0406 |
| NPI Number | 1851871727 |
|---|---|
| Provider Enumeration Date | 08/20/2018 |
| Last Update Date | 08/20/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851871727 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1001191-15 (Wisconsin) | Primary |
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