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1255102323
GRAND AVENUE DENTAL CARE, LLC
HARTFORD, WI
NPI
1255102323
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Entity Type
Organization
Authorized Contact
LEAH NICOLE CLANCY
Owner
708-738-5438
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2024-01-09
Last Update Date
2024-01-09
Business Address
GRAND AVENUE DENTAL CARE, LLC
1163 GRAND AVE
HARTFORD, WI 53027-2458
Phone number: 262-673-7826
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Mailing Address
GRAND AVENUE DENTAL CARE, LLC
2505 N 84TH ST
WAUWATOSA, WI 53226-1905
Phone number: 708-738-5438
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