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Wauwatosa Family Dental
Dental Clinic/Center in Wauwatosa, Wisconsin
NPI 1821580572

Wauwatosa Family Dental is a Dental Clinic/Center based in Delafield, WI and is specialized in Dental. Wauwatosa Family Dental practices in Wauwatosa, WI. The NPI Number for Wauwatosa Family Dental is 1821580572 and holds a License No. 6886 (Wisconsin).

The current practice location address for Wauwatosa Family Dental is 11904 W North Ave Ste 105, Wauwatosa, WI and can be reached out via phone at 414-454-0700 and via fax at 414-778-0705.

Location: 11904 W North Ave Ste 105, Wauwatosa, WI, 53018-2242
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1821580572
Provider Name
Wauwatosa Family Dental
Credential
Provider Entity Type
Organization
Address
11904 W North Ave Ste 105, Wauwatosa, WI, 53018-2242
Phone Number
414-454-0700
Fax Number
414-778-0705
Provider Enumeration Date
05/30/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11904 W North Ave Ste 105
City
Wauwatosa
State
Wisconsin
Zip
53226-2062
Phone Number
414-454-0700
Fax Number
414-778-0705
person
Provider Business Mailing Address Details
Address
11904 W North Ave Ste 105
City
Wauwatosa
State
Wisconsin
Zip
53226-2062
Phone Number
414-454-0700
Fax Number
414-778-0705
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
6886 (Wisconsin)
Definition
Definition to come...
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