Most Relevant Information
Provider Data
| NPI Number: | 1003481953 |
| Provider Name: | ALI RADMANESH DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 1002538 |
Most Important Dates
| Enumeration Date: | 05/24/2021 |
| Last Updated: | 06/17/2021 |
Provider Practice Location
6855 S 27TH ST
FRANKLIN
WI
531328045
Practice Location Phone/Fax
| Phone: | 4144350787 |
| Fax: |
Provider Mailing Location
6855 S 27TH ST
FRANKLIN
WI
531328045
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |