DOUGLAS PERSICH

WEST ALLIS, WI
NPI1205082377
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: WI  5001644)
Enumeration Date2008-08-08
Last Update Date2008-08-08
Business Address
-- DOUGLAS PERSICH DDS
7130 W GREENFIELD AVE
WEST ALLIS, WI 53214-4708
Phone number: 414-258-2500
Mailing Address
-- DOUGLAS PERSICH DDS
7130 W GREENFIELD AVE
WEST ALLIS, WI 53214-4708
Phone number: