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1700131935
HIGHLAND PARK FAMILY DENTISTRY, SC
WAUWATOSA, WI
NPI
1700131935
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Entity Type
Organization
Authorized Contact
ROBIN ANN GORMAN
Owner
414-475-9035
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
(Licence: WI 4097)
Enumeration Date
2012-07-13
Last Update Date
2012-07-13
Business Address
HIGHLAND PARK FAMILY DENTISTRY, SC
6101 W VLIET ST
WAUWATOSA, WI 53213-2485
Phone number: 414-475-9035
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Mailing Address
HIGHLAND PARK FAMILY DENTISTRY, SC
6101 W VLIET ST
WAUWATOSA, WI 53213-2485
Phone number: 414-475-9035
Copy
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