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1912163098
PHILLIP LEE BANGLE
WAUKESHA, WI
NPI
1912163098
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: WI 2318)
Enumeration Date
2008-07-29
Last Update Date
2008-07-29
Business Address
Dr. PHILLIP LEE BANGLE
1425 SUMMIT AVE STE 200
WAUKESHA, WI 53188-3200
Phone number: 262-542-1662
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Mailing Address
Dr. PHILLIP LEE BANGLE
1425 SUMMIT AVE STE 200
WAUKESHA, WI 53188-3200
Phone number: 262-542-1662
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