WEST ENDODONTIC GROUP

GRAFTON, WI
NPI1417284480
Doing Business AsLAKESIDE ENDODONTICS
Entity TypeOrganization
Authorized ContactKELLY NICOLE WEST
Owner
262-377-2668
Organization Subpart ?No
Primary Taxonomy1223E0200X Dentist, Endodontics
(Licence: WI  6129-15)
Enumeration Date2009-11-11
Last Update Date2009-11-11
Business Address
WEST ENDODONTIC GROUP
1245 CHEYENNE AVE SUITE 104
GRAFTON, WI 53024-9323
Phone number: 262-377-2889
Mailing Address
WEST ENDODONTIC GROUP
1245 CHEYENNE AVE SUITE 104
GRAFTON, WI 53024-9323
Phone number: 262-377-2889