CORY ALAN WIRTH

BROOKFIELD, WI
NPI1588396550
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WI  6001013-15)
Enumeration Date2022-06-28
Last Update Date2022-06-28
Business Address
CORY ALAN WIRTH DDS
125 N EXECUTIVE DR STE 105
BROOKFIELD, WI 53005-6035
Phone number: 262-444-0232
Mailing Address
CORY ALAN WIRTH DDS
W225N2821 FOXWOOD CT
WAUKESHA, WI 53186-8855
Phone number: 563-219-6650
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