| Thomas F Charapata, Sc | |
|
704 E Layton Ave Milwaukee WI 53207-5209 | |
| (414) 483-1600 | |
| (414) 483-3174 |
| Full Name | Thomas F Charapata, Sc |
|---|---|
| Speciality | Dentist |
| Location | 704 E Layton Ave, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Thomas F Charapata (PRESIDENT) |
| Authorized Official Contact | 4144831600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas F Charapata, Sc 704 E Layton Ave Milwaukee WI 53207-5209 Ph: (414) 483-1600 | Thomas F Charapata, Sc 704 E Layton Ave Milwaukee WI 53207-5209 Ph: (414) 483-1600 |
| NPI Number | 1255485272 |
|---|---|
| Provider Enumeration Date | 01/23/2007 |
| Last Update Date | 12/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255485272 | NPI | - | NPPES |
| 692431 | Other | UNITED CONCORDIA | |
| 3374-5000 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3384 (Wisconsin) | Primary |
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