| Jeffrey O'brien, D.d.s., S.c. | |
|
W247s3114 Prairie Ave Waukesha WI 53189-7321 | |
| (262) 544-4404 | |
| (262) 544-4399 |
| Full Name | Jeffrey O'brien, D.d.s., S.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | W247s3114 Prairie Ave, Waukesha, Wisconsin |
| Authorized Official Name and Position | Jeffrey M O'brien (DENTIST) |
| Authorized Official Contact | 2625444404 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey O'brien, D.d.s., S.c. W247s3114 Prairie Ave Waukesha WI 53189-7321 Ph: (262) 544-4404 | Jeffrey O'brien, D.d.s., S.c. W247s3114 Prairie Ave Waukesha WI 53189-7321 Ph: (262) 544-4404 |
| NPI Number | 1245578665 |
|---|---|
| Provider Enumeration Date | 01/18/2013 |
| Last Update Date | 01/18/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245578665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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