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1225556160
MILWAUKEE DENTAL ARTS LLC
MILWAUKEE, WI
NPI
1225556160
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Entity Type
Organization
Authorized Contact
JACOB FERRIS
Dentist
262-490-5802
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center Dental
Enumeration Date
2017-08-30
Last Update Date
2017-08-30
Business Address
MILWAUKEE DENTAL ARTS LLC
2700 W LINCOLN AVE
MILWAUKEE, WI 53215-2455
Phone number: 262-490-5802
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Mailing Address
MILWAUKEE DENTAL ARTS LLC
20 SUTPHIN ST APT 305
DULUTH, MN 55802-2622
Phone number: 262-490-5802
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