| NPI | 1104647957 |
|---|---|
| Doing Business As | AFFORDABLE DENTURES & IMPLANTS - KENOSHA |
| Entity Type | Organization |
| Authorized Contact | ZAHIR SIDDIQUI Managing Dentist 262-694-6360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2024-10-23 |
| Last Update Date | 2024-10-23 |