DCP OF SOUTHRIDGE SHOPPING CENTER, LLC

GREENFIELD, WI
NPI1568435253
Doing Business AsDENTALWORKS OF GREENFIELD
Entity TypeOrganization
Authorized ContactRACHEL NITTINGER
Credentialing Specialist
972-755-0816
Organization Subpart ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
Additional Taxonomies1223P0221X Dentist, Pediatric Dentistry
1223P0300X Dentist, Periodontics
1223P0700X Dentist, Prosthodontics
1223S0112X Dentist, Oral and Maxillofacial Surgery
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
122300000X Dentist
1223E0200X Dentist, Endodontics
Enumeration Date2006-02-11
Last Update Date2018-03-19
Business Address
DCP OF SOUTHRIDGE SHOPPING CENTER, LLC
7995 W LAYTON AVE
GREENFIELD, WI 53220-3710
Phone number: 414-282-6583
Mailing Address
DCP OF SOUTHRIDGE SHOPPING CENTER, LLC
7160 NORTH DALLAS PARKWAY SUITE 400
PLANO, TX 75024
Phone number: