| Complete Family Dentistry | |
|
419 E Broadway Waukesha WI 53186-5082 | |
| (262) 549-6850 | |
| (262) 549-2157 |
| Full Name | Complete Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 419 E Broadway, Waukesha, Wisconsin |
| Authorized Official Name and Position | Karen M Jahimiak (PARTNER) |
| Authorized Official Contact | 2625496850 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Complete Family Dentistry 419 E Broadway Waukesha WI 53186-5082 Ph: (262) 549-6850 | Complete Family Dentistry 419 E Broadway Waukesha WI 53186-5082 Ph: (262) 549-6850 |
| NPI Number | 1174524425 |
|---|---|
| Provider Enumeration Date | 08/09/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174524425 | NPI | - | NPPES |
| 33495600 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3689 (Wisconsin) | Primary |
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