BRIAN J WACKWITZ

MADISON, WI
NPI1548489420
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: WI  5976-015)
Enumeration Date2007-04-25
Last Update Date2007-07-08
Business Address
Dr. BRIAN J WACKWITZ D.D.S.
4506 REGENT ST
MADISON, WI 53705-4966
Phone number: 608-238-7112
Mailing Address
Dr. BRIAN J WACKWITZ D.D.S.
4506 REGENT ST
MADISON, WI 53705-4966
Phone number: 608-238-7112
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