911 DENTAL GROUP

RACINE, WI
NPI1235944190
Entity TypeOrganization
Authorized ContactNANA YAW OWUSU
CEO
262-900-2191
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2025-02-10
Last Update Date2025-02-10
Business Address
911 DENTAL GROUP
400 LAKE AVE
RACINE, WI 53403-1020
Phone number: 262-900-2191
Mailing Address
911 DENTAL GROUP
810 THORNTON ST SE APT 1104
MINNEAPOLIS, MN 55414-3657
Phone number: 773-640-1715