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General NPI Number Information
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NPI Number | 1578249025
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Entity Type | Organization
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Legal Business Name | AFFORDABLE DENTURES & IMPLANTS - MENOMONEE FALLS III, S.C.
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Dates
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Enumeration Date | 06/27/2023
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Last Update Date | 06/27/2023
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Provider Practice Location Address
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Address Line | N95 W, 18453 COUNTY LINE RD
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City | MENOMONEE FALLS
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State | WI
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Zip | 53051
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Country | US
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Telephone | 262-258-2600
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Fax |
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Provider Business Mailing Address
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Address Line | N95 W, 18453 COUNTY LINE RD
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City | MENOMONEE FALLS
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State | WI
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Zip | 53051
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Country | US
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Telephone | 262-258-2600
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | OLAJUMOKE ADEDOYIN
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Credential | DDS
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Telephone | 262-258-2600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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