| NPI | 1053814772 |
|---|---|
| Other Name | WAUKESHA COUNTY COMMUNITY DENTAL CLINIC - MENOMONEE FALLS |
| Other Name | WAUKESHA COUNTY COMMUNITY DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | RENEE RAMIREZ Executive Director 262-953-4699 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2018-03-09 |
| Last Update Date | 2018-08-10 |