D2 DENTAL OF WISCONSIN, S.C.

MOUNT PLEASANT, WI
NPI1124528914
Entity TypeOrganization
Authorized ContactBORIS LABINOV
Agent
312-404-3975
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2018-02-18
Last Update Date2020-11-10
Business Address
D2 DENTAL OF WISCONSIN, S.C.
6012 WASHINGTON AVE
MOUNT PLEASANT, WI 53406-4038
Phone number: 262-583-0022
Mailing Address
D2 DENTAL OF WISCONSIN, S.C.
137 N OAK PARK AVE STE 310
OAK PARK, IL 60301-1339
Phone number: