Perry W Sukowatey Dds Ltd | |
2600 N Mayfair Rd Suite 450 Wauwatosa WI 53226 | |
(414) 258-8444 | |
(414) 258-9121 |
Full Name | Perry W Sukowatey Dds Ltd |
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Speciality | Dentist |
Location | 2600 N Mayfair Rd, Wauwatosa, Wisconsin |
Authorized Official Name and Position | Perry Wayne Sukowatey (PRESIDENT OWNER) |
Authorized Official Contact | 4142588444 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Perry W Sukowatey Dds Ltd 2600 N Mayfair Rd Suite 450 Perry W Sukowatey Dds Wauwatosa WI 53226 Ph: (414) 258-8444 | Perry W Sukowatey Dds Ltd 2600 N Mayfair Rd Suite 450 Wauwatosa WI 53226 Ph: (414) 258-8444 |
NPI Number | 1245282367 |
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Provider Enumeration Date | 05/17/2006 |
Last Update Date | 10/30/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245282367 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 3056 (Wisconsin) | Primary |
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