Highland Park Family Dentistry, SC
Highland Park Family Dentistry, SC is a Dental Clinic/Center in Wauwatosa, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2012.
- Licensed in
- WI
- In the registry since
- 2012
Practice location Address checks out
6101 W Vliet StWauwatosa, WI 53213-2485
Phone: (414) 475-9035
Fax: (414) 475-9039
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X · Licence 4097 (WI) |
|---|
Record details
| NPI number | 1700131935 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Robin Gorman — Owner · (414) 475-9035 |
| NPI enumerated | July 13, 2012 |
| Last updated in NPPES | July 13, 2012 |
| Mailing address | 6101 W Vliet St, Wauwatosa, WI 53213-2485 |
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-
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