Northridge Dental Center S.c.

NPI Provider: 1730184557
Contact Name: Fitch A John
Position: President
Phone: (414) 354-9020

Northridge Dental Center S.c. Information:

Northridge Dental Center S.c. organization have npi 1730184557, taxonomy code is 261QD0000X with license number is 5001515-015 in . This Business address located in 2327 W Apple Tree Rd, Glendale, WI 53209 Wisconsin.

Practice Location
Address: 7906 N 76th St, Milwaukee, WI 53223
Phone: (414) 354-9020

Business Location
Address: 2327 W Apple Tree Rd, Glendale, WI 53209
Phone: (414) 352-3839
Fax: (910) 947-3035

Taxonomy

Taxonomy Code: 261QD0000X

License Number: 5001515-015

License Number of State: WI

Primary Taxonomy Switch: Y

Enumeration Date: 6/17/2005

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