KEYSTONE WAUKESHA LLC

WAUKESHA, WI
NPI1124868575
Entity TypeOrganization
Authorized ContactTAMMY KEVIN
Vice President
262-873-0510
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2024-05-31
Last Update Date2024-05-31
Business Address
KEYSTONE WAUKESHA LLC
1700 CORAL DR
WAUKESHA, WI 53186-1483
Phone number: 262-650-3000
Mailing Address
KEYSTONE WAUKESHA LLC
PO BOX 180467
DELAFIELD, WI 53018-0467
Phone number: 262-873-0510
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