| Davies General Dentistry | |
|
2117 Corporate Dr Ste 200 Waukesha WI 53189-7994 | |
| (262) 754-2454 | |
| Not Available |
| Full Name | Davies General Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 2117 Corporate Dr Ste 200, Waukesha, Wisconsin |
| Authorized Official Name and Position | Kristi Ann Davies (OWNER) |
| Authorized Official Contact | 2627542454 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Davies General Dentistry 2117 Corporate Dr Ste 200 Waukesha WI 53189-7994 Ph: (262) 754-2454 | Davies General Dentistry 2117 Corporate Dr Ste 200 Waukesha WI 53189-7994 Ph: (262) 754-2454 |
| NPI Number | 1316236516 |
|---|---|
| Provider Enumeration Date | 03/29/2011 |
| Last Update Date | 03/29/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316236516 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6501-15 (Wisconsin) | Primary |
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