SOUTHWEST DENTAL GROUP, S.C.

RACINE, WI
NPI1003942319
Entity TypeOrganization
Authorized ContactRICHARD L. DEFURIO
Owner
262-632-3156
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2007-02-23
Last Update Date2020-08-22
Business Address
SOUTHWEST DENTAL GROUP, S.C.
2601 TAYLOR AVE
RACINE, WI 53403-2865
Phone number: 262-632-3156
Mailing Address
SOUTHWEST DENTAL GROUP, S.C.
2601 TAYLOR AVE
RACINE, WI 53403-2865
Phone number: 262-632-3156