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1124528914
D2 DENTAL OF WISCONSIN, S.C.
MOUNT PLEASANT, WI
NPI
1124528914
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Entity Type
Organization
Authorized Contact
BORIS LABINOV
Agent
312-404-3975
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2018-02-18
Last Update Date
2020-11-10
Business Address
D2 DENTAL OF WISCONSIN, S.C.
6012 WASHINGTON AVE
MOUNT PLEASANT, WI 53406-4038
Phone number: 262-583-0022
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Mailing Address
D2 DENTAL OF WISCONSIN, S.C.
137 N OAK PARK AVE STE 310
OAK PARK, IL 60301-1339
Phone number:
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