| Waterford Family Dental Llc | |
|
107a W Main St Waterford WI 53185-4129 | |
| (262) 534-5303 | |
| (262) 514-4388 |
| Full Name | Waterford Family Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 107a W Main St, Waterford, Wisconsin |
| Authorized Official Name and Position | Dan Trittin (OWNER) |
| Authorized Official Contact | 2625345303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Waterford Family Dental Llc 107a W Main St Waterford WI 53185-4129 Ph: (262) 534-5303 | Waterford Family Dental Llc 107a W Main St Waterford WI 53185-4129 Ph: (262) 534-5303 |
| NPI Number | 1316081441 |
|---|---|
| Provider Enumeration Date | 02/20/2007 |
| Last Update Date | 04/22/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316081441 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 3199-015 (Wisconsin) | Primary |
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 | |
Waterford Childrens Dentistry Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 790 Cornerstone Xing, Waterford, WI 53185 Phone: 414-350-0945 |