| Tanty Family Dental | |
|
W249s3642 Center Rd Waukesha WI 53189-7364 | |
| (262) 542-8382 | |
| Not Available |
| Full Name | Tanty Family Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | W249s3642 Center Rd, Waukesha, Wisconsin |
| Authorized Official Name and Position | Megan Busko (OFFICE MANAGER) |
| Authorized Official Contact | 2625428382 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tanty Family Dental W249s3642 Center Rd Waukesha WI 53189-7364 Ph: (262) 542-8382 | Tanty Family Dental W249s3642 Center Rd Waukesha WI 53189-7364 Ph: (262) 542-8382 |
| NPI Number | 1801400338 |
|---|---|
| Provider Enumeration Date | 09/02/2020 |
| Last Update Date | 09/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801400338 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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