| Jay L. Mackman, Dds | |
|
2626 N 76th St Wauwatosa WI 53213-1137 | |
| (414) 476-9400 | |
| Not Available |
| Full Name | Jay L. Mackman, Dds |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2626 N 76th St, Wauwatosa, Wisconsin |
| Authorized Official Name and Position | Karien Bakker (COO) |
| Authorized Official Contact | 4147747794 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jay L. Mackman, Dds 2626 N 76th St Wauwatosa WI 53213-1137 Ph: () - | Jay L. Mackman, Dds 2626 N 76th St Wauwatosa WI 53213-1137 Ph: (414) 476-9400 |
| NPI Number | 1003116765 |
|---|---|
| Provider Enumeration Date | 10/28/2010 |
| Last Update Date | 10/28/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003116765 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Wisconsin) | Primary |
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