East Towne Dental Associates Belgium Family Dental SC
East Towne Dental Associates Belgium Family Dental SC is a Dentist in Belgium, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.
- Licensed in
- WI
- In the registry since
- 2007
- Specialties on file
- 3
Practice location Address checks out
171 Main St Ste 200Belgium, WI 53004
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
| Dentist (primary) | Taxonomy 122300000X · Licence 5304 (WI) |
|---|---|
| Dentist | Taxonomy 122300000X · Licence 5301 (WI) |
| Dentist | Taxonomy 122300000X · Licence 5993 (WI) |
Record details
| NPI number | 1164560165 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Vali Kiaie — President · (262) 285-3408 |
| NPI enumerated | February 2, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | Po Box 147, Belgium, WI 53004 |