| Waterford Childrens Dentistry Sc | |
|
790 Cornerstone Xing Waterford WI 53185-4582 | |
| (414) 350-0945 | |
| Not Available |
| Full Name | Waterford Childrens Dentistry Sc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 790 Cornerstone Xing, Waterford, Wisconsin |
| Authorized Official Name and Position | Christy Frady (OWNER) |
| Authorized Official Contact | 4143500945 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Waterford Childrens Dentistry Sc 790 Cornerstone Xing Waterford WI 53185-4582 Ph: (414) 350-0945 | Waterford Childrens Dentistry Sc 790 Cornerstone Xing Waterford WI 53185-4582 Ph: (414) 350-0945 |
| NPI Number | 1982385944 |
|---|---|
| Provider Enumeration Date | 07/31/2023 |
| Last Update Date | 07/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982385944 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
Waterford Family Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 107a W Main St, Waterford, WI 53185 Phone: 262-534-5303 Fax: 262-514-4388 | |
Thomas C Viney Dds Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 307 E Main St, Waterford, WI 53185 Phone: 262-534-2686 Fax: 262-534-2686 |