Mdc West Bend, Llc

LBN: Mdc West Bend, Llc
Mdc West Bend, Llc is an health care organization with primary practice located at 1625 W Paradise Dr , West Bend WI 53095-7846. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Mdc West Bend, Llc can be contacted via phone (262) 338-2992, or through Bolka, Bernard via phone (920) 579-3188.

Contact Information

Primary practice address
1625 W Paradise Dr West Bend WI 53095-7846
Phone: (262) 338-2992
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bolka, Bernard
Phone: (920) 579-3188

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 5479015 Wisconsin

Profile Details

NPI number 1497294722
LBN Legal business name Mdc West Bend, Llc
DBA Doing business as
Authorized official Bolka, Bernard
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 20th, 2017
Last updated Feb 20th, 2017 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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