Familia Dental River Glen LLC
Familia Dental River Glen LLC is a General Practice Dentistry in Milwaukee, Wisconsin. Registered with an NPI since 2015.
- In the registry since
- 2015
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
142 E Capitol DrMilwaukee, WI 53212-1206
Phone: (414) 444-1823
Fax: (414) 963-1163
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X |
|---|---|
| General Practice Dentistry | Taxonomy 1223G0001X |
Record details
| NPI number | 1154794584 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Brandon Taylor — Credentialing & Payer Relations Man · (847) 453-7396 |
| NPI enumerated | November 6, 2015 |
| Last updated in NPPES | June 30, 2021 |
| Certification date | June 30, 2021 |
| Mailing address | 2050 East Algonquin Road, Suite 610, Schaumburg, IL 60173-4166 |
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