Provider First Line Business Practice Location Address:
10134 N PORT WASHINGTON RD, INSPIRED DENTAL
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MEAQUON
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
53092
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
262-241-3500
Provider Business Practice Location Address Fax Number:
262-642-5395
Provider Enumeration Date:
06/11/2008