IDENTAL LLC

MT PLEASANT, WI
NPI1861867947
Entity TypeOrganization
Authorized ContactVIVEK VASUDEVA
Co CEO
847-561-1424
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
Enumeration Date2015-12-01
Last Update Date2015-12-01
Business Address
IDENTAL LLC
1320 S GREEN BAY RD
MT PLEASANT, WI 53406-4406
Phone number: 847-561-1424
Mailing Address
IDENTAL LLC
1320 S GREEN BAY RD
MT PLEASANT, WI 53406-4406
Phone number:
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