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1871118554
THIRD COAST DENTAL LLC
WEST ALLIS, WI
NPI
1871118554
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Entity Type
Organization
Authorized Contact
ANDREA EMMERICH
Owner/Dentist
864-359-0902
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2020-06-09
Last Update Date
2020-06-09
Business Address
THIRD COAST DENTAL LLC
8531 W LINCOLN AVE
WEST ALLIS, WI 53227-2542
Phone number: 414-327-2700
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Mailing Address
THIRD COAST DENTAL LLC
8531 W LINCOLN AVE
WEST ALLIS, WI 53227-2542
Phone number:
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