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1487211447
RESTORATION DENTAL LLC
GLENDALE, WI
NPI
1487211447
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Entity Type
Organization
Authorized Contact
BRIDGET MACKEY
Owner
414-732-8043
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2019-05-24
Last Update Date
2019-06-11
Business Address
RESTORATION DENTAL LLC
6373 N JEAN NICOLET RD STE 202
GLENDALE, WI 53217-4184
Phone number: 414-228-9680
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Mailing Address
RESTORATION DENTAL LLC
6373 N JEAN NICOLET RD STE 202
GLENDALE, WI 53217-4184
Phone number: 414-228-9680
Copy
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