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Davies Pediatric Dentistry

Dentist, Pediatric Dentistry in Waukesha, WI. Organization (NPI-2).

NPI number1003908856
StatusActive
Last updated in NPPESJul 5, 2011

Details

NPI
1003908856
Entity type
Organization (NPI-2)
Legal business name
Davies Pediatric Dentistry
Organization subpart
No
Enumeration date
Sep 29, 2006
Last updated
Jul 5, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223P0221X Dentist, Pediatric Dentistry4907-015WIYes
1223P0221X Dentist, Pediatric Dentistry5000400-015WI

Practice location

2117 Corporate Drive
Suite 100
Waukesha, WI 53189

Phone 262-547-5813 · Fax 262-547-5835

Mailing address

2117 Corporate Drive
Suite 100
Waukesha, WI 53189

Phone 262-547-5813 · Fax 262-547-5835

Authorized official

Kirsten M. Davies
Owner
2625475813

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Other Pediatric Dentistry providers in Waukesha, WI

All 8 Pediatric Dentistry providers in Waukesha · All 3,394 providers in Waukesha

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