J.l. Mackman Dds | |
2626 N Wauwatosa Ave Wauwatosa WI 53213-1137 | |
(414) 476-9400 | |
(414) 962-9599 |
Full Name | J.l. Mackman Dds |
---|---|
Speciality | Dentist - General Practice |
Location | 2626 N Wauwatosa Ave, Wauwatosa, Wisconsin |
Authorized Official Name and Position | Jay L Mackman (DENTIST) |
Authorized Official Contact | 4144769400 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
J.l. Mackman Dds 2626 N Wauwatosa Ave Wauwatosa WI 53213-1137 Ph: (414) 476-9400 | J.l. Mackman Dds 2626 N Wauwatosa Ave Wauwatosa WI 53213-1137 Ph: (414) 476-9400 |
NPI Number | 1457472441 |
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Provider Enumeration Date | 04/03/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457472441 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 2793 (Wisconsin) | Primary |
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