| Wd Dental Implant | |
|
21 S Bruns Ave Plymouth WI 53073-2562 | |
| (920) 892-2951 | |
| Not Available |
| Full Name | Wd Dental Implant |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 21 S Bruns Ave, Plymouth, Wisconsin |
| Authorized Official Name and Position | Denise Shih O'brien (OWNER) |
| Authorized Official Contact | 4145206806 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wd Dental Implant 21 S Bruns Ave Plymouth WI 53073-2562 Ph: (920) 892-2951 | Wd Dental Implant 21 S Bruns Ave Plymouth WI 53073-2562 Ph: (920) 892-2951 |
| NPI Number | 1487429205 |
|---|---|
| Provider Enumeration Date | 11/21/2023 |
| Last Update Date | 11/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487429205 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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