| Wisconsin Dental Team, A Service Corporation | |
|
805 N Mayfair Rd Wauwatosa WI 53226-4241 | |
| (414) 567-0662 | |
| (414) 249-6075 |
| Full Name | Wisconsin Dental Team, A Service Corporation |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 805 N Mayfair Rd, Wauwatosa, Wisconsin |
| Authorized Official Name and Position | Alejandra Polanco (OWNER) |
| Authorized Official Contact | 9175729671 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wisconsin Dental Team, A Service Corporation 9709 Lakeside Blvd Ste 350 Spring TX 77381-1213 Ph: (713) 489-2198 | Wisconsin Dental Team, A Service Corporation 805 N Mayfair Rd Wauwatosa WI 53226-4241 Ph: (414) 567-0662 |
| NPI Number | 1215740576 |
|---|---|
| Provider Enumeration Date | 01/30/2025 |
| Last Update Date | 01/30/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215740576 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
Jay L. Mackman, Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2626 N 76th St, Wauwatosa, WI 53213 Phone: 414-476-9400 | |
Generations Family Dental Care-tosa, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2505 N Mayfair Rd Ste 103, Wauwatosa, WI 53226 Phone: 414-258-2117 Fax: 414-258-4117 | |
Wauwatosa Dental Group Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2600 N Mayfair Rd, Suite 750, Wauwatosa, WI 53226 Phone: 414-257-3366 Fax: 414-258-1390 | |
Advanced Dental Specialists, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2600 N Mayfair Rd Ste 101, Wauwatosa, WI 53226 Phone: 414-475-1418 | |
Generations Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2505 N Mayfair Rd, #103, Wauwatosa, WI 53226 Phone: 414-258-2117 Fax: 414-258-4177 |