East Towne Dental Associates Belgium Family Dental SC
East Towne Dental Associates Belgium Family Dental SC provides Dentist services 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 |