GRAND AVENUE DENTAL CARE, LLC

HARTFORD, WI
NPI1255102323
Entity TypeOrganization
Authorized ContactLEAH NICOLE CLANCY
Owner
708-738-5438
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2024-01-09
Last Update Date2024-01-09
Business Address
GRAND AVENUE DENTAL CARE, LLC
1163 GRAND AVE
HARTFORD, WI 53027-2458
Phone number: 262-673-7826
Mailing Address
GRAND AVENUE DENTAL CARE, LLC
2505 N 84TH ST
WAUWATOSA, WI 53226-1905
Phone number: 708-738-5438