PERIODONTICS AND IMPLANT DENTISTRY, LLC

MOUNT PLEASANT, WI
NPI1710431788
Entity TypeOrganization
Authorized ContactCHRISTOPHER G HUTTON
Sole Member
414-369-2091
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2016-08-08
Last Update Date2016-08-08
Business Address
PERIODONTICS AND IMPLANT DENTISTRY, LLC
6754 LINDERMANN AVE
MOUNT PLEASANT, WI 53406-5603
Phone number: 262-632-5455
Mailing Address
PERIODONTICS AND IMPLANT DENTISTRY, LLC
6754 LINDERMANN AVE
MOUNT PLEASANT, WI 53406-5603
Phone number: 262-632-5455
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