BRIAN R TECLAW

WEST ALLIS, WI
NPI1417119710
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WI  3325)
Enumeration Date2008-06-27
Last Update Date2008-06-27
Business Address
-- BRIAN R TECLAW D.D.S.
2301 S 108TH ST
WEST ALLIS, WI 53227-1901
Phone number: 414-321-2320
Mailing Address
-- BRIAN R TECLAW D.D.S.
2301 S 108TH ST
WEST ALLIS, WI 53227-1901
Phone number: 414-321-2320
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