| NPI | 1114512225 |
|---|---|
| Doing Business As | SOUTH MILWAUKEE FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | TAMMY KEVIN Director Of Operations 262-873-0510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-03-02 |
| Last Update Date | 2021-03-02 |