Alia Mentink

NPI 1669261715 · on the registry since 2025

Practice

Address: 932 S 60th St Ste 201
West Allis, WI 53214
Phone: (414) 323-2057
Fax: (414) 323-2067
Organisation at this address: Long Life Pharmacy 2 Llc
True Dental West Allis Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 6

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: WI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-01-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin