Provider Demographics
NPI:1740857093
Name:AFFORDABLE DENTURES & IMPLANTS - MENOMONEE FALLS, S.C.
Entity type:Organization
Organization Name:AFFORDABLE DENTURES & IMPLANTS - MENOMONEE FALLS, S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DDS
Authorized Official - Prefix:
Authorized Official - First Name:HOUSSAM
Authorized Official - Middle Name:
Authorized Official - Last Name:ELCHEKHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:262-258-2600
Mailing Address - Street 1:N95W18453 COUNTY LINE ROAD
Mailing Address - Street 2:
Mailing Address - City:MENOMONEE FALLS
Mailing Address - State:WI
Mailing Address - Zip Code:53051-7101
Mailing Address - Country:US
Mailing Address - Phone:262-258-2600
Mailing Address - Fax:
Practice Address - Street 1:N95W18453 COUNTY LINE ROAD
Practice Address - Street 2:
Practice Address - City:MENOMONEE FALLS
Practice Address - State:WI
Practice Address - Zip Code:53051-7101
Practice Address - Country:US
Practice Address - Phone:262-258-2600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-07
Last Update Date:2021-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty