| Jm Dental Llc | |
|
17585 W North Ave Suite 240 Brookfield WI 53045-4365 | |
| (262) 782-5141 | |
| (262) 782-0656 |
| Full Name | Jm Dental Llc |
|---|---|
| Speciality | Dentist |
| Location | 17585 W North Ave, Brookfield, Wisconsin |
| Authorized Official Name and Position | Mathias J Weber (SOLE MANAGING MEMBER) |
| Authorized Official Contact | 2627825141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jm Dental Llc 17585 W North Ave Suite 240 Brookfield WI 53045-4365 Ph: (262) 782-5141 | Jm Dental Llc 17585 W North Ave Suite 240 Brookfield WI 53045-4365 Ph: (262) 782-5141 |
| NPI Number | 1952647810 |
|---|---|
| Provider Enumeration Date | 12/21/2012 |
| Last Update Date | 12/21/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952647810 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 4628-015 (Wisconsin) | Primary |
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