Lincoln Ave Dental Group SC
Lincoln Ave Dental Group SC provides General Practice Dentistry in Milwaukee, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.
- Licensed in
- WI
- In the registry since
- 2006
- Specialties on file
- 2
Practice location Address checks out
2700 W Lincoln AveMilwaukee, WI 53215
Phone: (414) 645-0217
Fax: (414) 645-1502
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Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 5266015 (WI) |
|---|---|
| General Practice Dentistry | Taxonomy 1223G0001X · Licence 3800015 (WI) |
Record details
| NPI number | 1861595324 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Steven Kanugh — President Dentist · (414) 645-0217 |
| NPI enumerated | September 7, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 2700 W Lincoln Ave, Milwaukee, WI 53215 |
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