WAUWATOSA FAMILY DENTAL

WAUWATOSA, WI
NPI1821580572
Entity TypeOrganization
Authorized ContactCHRISTOPHER POTRYKUS
Owner
262-646-2771
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
(Licence: WI  6886)
Enumeration Date2018-05-30
Last Update Date2018-05-30
Business Address
WAUWATOSA FAMILY DENTAL
11904 W NORTH AVE STE 105
WAUWATOSA, WI 53226-2062
Phone number: 414-454-0700
Mailing Address
WAUWATOSA FAMILY DENTAL
920 INDIAN SPRING DR
DELAFIELD, WI 53018-2242
Phone number: 262-646-2771
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