West Endodontic Group
West Endodontic Group is an Endodontics in Grafton, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2009.
- Licensed in
- WI
- In the registry since
- 2009
Practice location Address checks out
1245 Cheyenne Ave Ste 104Grafton, WI 53024-9323
Phone: (262) 377-2889
Fax: (262) 377-2680
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Endodontics (primary) | Taxonomy 1223E0200X · Licence 6129-15 (WI) |
|---|
Record details
| NPI number | 1417284480 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kelly West — Owner · (262) 377-2668 |
| Other names | Lakeside Endodontics |
| NPI enumerated | November 11, 2009 |
| Last updated in NPPES | November 11, 2009 |
| Mailing address | 1245 Cheyenne Ave, Suite 104, Grafton, WI 53024-9323 |