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1073136420
GENERATIONS FAMILY DENTAL CARE-TOSA, LLC
WAUWATOSA, WI
NPI
1073136420
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Entity Type
Organization
Authorized Contact
MATTHEW J BABCOCK
Managing Member
414-258-2117
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2020-05-20
Last Update Date
2020-05-20
Business Address
GENERATIONS FAMILY DENTAL CARE-TOSA, LLC
2505 N MAYFAIR RD STE 103
WAUWATOSA, WI 53226-1404
Phone number: 414-258-2117
Copy
Mailing Address
GENERATIONS FAMILY DENTAL CARE-TOSA, LLC
2505 N MAYFAIR RD STE 103
WAUWATOSA, WI 53226-1404
Phone number: 414-258-2117
Copy
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