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1649742370
BROOKFIELD DENTAL CENTER LLC
BROOKFIELD, WI
NPI
1649742370
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Entity Type
Organization
Authorized Contact
TAMMY KEVIN
Manager
262-873-0510
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2018-12-19
Last Update Date
2018-12-19
Business Address
BROOKFIELD DENTAL CENTER LLC
17585 W NORTH AVE STE 210
BROOKFIELD, WI 53045-4365
Phone number: 262-784-4222
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Mailing Address
BROOKFIELD DENTAL CENTER LLC
920 INDIAN SPRING DR
DELAFIELD, WI 53018-2242
Phone number: 262-646-2771
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