MICHAEL DE WAN DDS SC

MILWAUKEE, WI
NPI1386801694
Entity TypeOrganization
Authorized ContactMICHAEL S DE WAN
Dentist
414-962-5915
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: WI  WI3976)
Enumeration Date2008-05-22
Last Update Date2008-06-12
Business Address
MICHAEL DE WAN DDS SC
2577 N DOWNER AVE STE 202
MILWAUKEE, WI 53211-4242
Phone number: 414-962-5915
Mailing Address
MICHAEL DE WAN DDS SC
2577 N DOWNER AVE STE 202
MILWAUKEE, WI 53211-4253
Phone number:
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