Belgium Family Dental
Belgium Family Dental is a Preferred Provider Organization in Belgium, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2015.
- Licensed in
- WI
- In the registry since
- 2015
Practice location Address checks out
171 Main StBelgium, WI 53004-9715
Phone: (262) 285-3408
Fax: (262) 285-4025
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Preferred Provider Organization (primary) | Taxonomy 305R00000X · Licence 1001078-15 (WI) |
|---|
Record details
| NPI number | 1891174967 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Vali Kiaie — Doctor/Owner · (262) 285-3408 |
| Other names | East Towne Dental Associates |
| NPI enumerated | May 22, 2015 |
| Last updated in NPPES | May 22, 2015 |
| Mailing address | 171 Main St, Belgium, WI 53004-9715 |