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1730781352
SOUTHWEST FAMILY DENTAL CARE LLC
RACINE, WI
NPI
1730781352
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Entity Type
Organization
Authorized Contact
MITCH WEILAND
Senior Accountant
608-343-0818
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
Enumeration Date
2020-11-09
Last Update Date
2020-11-09
Business Address
SOUTHWEST FAMILY DENTAL CARE LLC
2601 TAYLOR AVE
RACINE, WI 53403-2865
Phone number: 262-632-3156
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Mailing Address
SOUTHWEST FAMILY DENTAL CARE LLC
2601 TAYLOR AVE
RACINE, WI 53403-2865
Phone number: 262-632-3156
Copy
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