| Wanezek Family Dentistry | |
|
W3278 Main Street East Troy WI 53120 | |
| (262) 642-5881 | |
| (262) 642-7252 |
| Full Name | Wanezek Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | W3278 Main Street, East Troy, Wisconsin |
| Authorized Official Name and Position | Philip M Wanezek (DENTIST OWNER) |
| Authorized Official Contact | 2626425881 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wanezek Family Dentistry Po Box 15 East Troy WI 53120 Ph: (262) 642-5881 | Wanezek Family Dentistry W3278 Main Street East Troy WI 53120 Ph: (262) 642-5881 |
| NPI Number | 1649337726 |
|---|---|
| Provider Enumeration Date | 01/02/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649337726 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
East Troy Family Dental Center Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2481 Executive Dr, East Troy, WI 53120 Phone: 262-642-5695 Fax: 262-642-5395 |