institution
Your Family Dentist
Dental Clinic/Center in Waukesha, Wisconsin
NPI 1629197769

Your Family Dentist is a Dental Clinic/Center based in Waukesha, WI and is specialized in Dental. Your Family Dentist practices in Waukesha, WI. The NPI Number for Your Family Dentist is 1629197769 and holds a License No. 5001794-015 (Wisconsin).

The current practice location address for Your Family Dentist is 411 N Grand Ave, Waukesha, WI and can be reached out via phone at 262-513-5677 and via fax at 262-513-0077.

Location: 411 N Grand Ave, Waukesha, WI, 53186-4961
institution
Provider Profile Details
NPI Number
1629197769
Provider Name
Your Family Dentist
Credential
Provider Entity Type
Organization
Address
411 N Grand Ave, Waukesha, WI, 53186-4961
Phone Number
262-513-5677
Fax Number
262-513-0077
Provider Enumeration Date
03/28/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
411 N Grand Ave
City
State
Zip
53186-4961
Phone Number
262-513-5677
Fax Number
262-513-0077
person
Provider Business Mailing Address Details
Address
411 N Grand Ave
City
State
Zip
53186-4961
Phone Number
262-513-5677
Fax Number
262-513-0077
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
5001794-015 (Wisconsin)
Definition
Definition to come...
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