LEAH MARIE FAX

WEST BEND, WI
NPI1497370829
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: WI  1002308)
Enumeration Date2020-06-11
Last Update Date2020-06-11
Business Address
Dr. LEAH MARIE FAX DDS
309 N 7TH AVE
WEST BEND, WI 53095-3242
Phone number: 262-338-1164
Mailing Address
Dr. LEAH MARIE FAX DDS
11241 SYNERGY DR APT 420
WAUWATOSA, WI 53222-1346
Phone number: 608-438-9468
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