Modern Family Dentists Llc | |
6803 Sheridan Rd Kenosha WI 53143-1321 | |
(262) 484-4356 | |
Not Available |
Full Name | Modern Family Dentists Llc |
---|---|
Speciality | Dentist - General Practice |
Location | 6803 Sheridan Rd, Kenosha, Wisconsin |
Authorized Official Name and Position | Jamie Morsehead (PATIENT EXPERIENCE COORDINATOR) |
Authorized Official Contact | 2624844356 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Modern Family Dentists Llc 6803 Sheridan Rd Kenosha WI 53143-1321 Ph: (262) 484-4356 | Modern Family Dentists Llc 6803 Sheridan Rd Kenosha WI 53143-1321 Ph: (262) 484-4356 |
NPI Number | 1639574585 |
---|---|
Provider Enumeration Date | 11/04/2014 |
Last Update Date | 11/04/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639574585 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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