Organization
FAMILY DENTAL OF SOUTH EAST WISCONSIN, S.C.
Active
Other names
Peter M Wilsens DDS SC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS P CASEY DDS (EMPLOYEE)
(414) 321-2720
Entity
Organization
Contact information
Practice address
10202 W HAYES AVE, WEST ALLIS, WI 53227-2042
(414) 321-2720
(414) 321-7718
Mailing address
10202 W HAYES AVE, WEST ALLIS, WI 53227-2042
(414) 321-2720
(414) 321-7718
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2304
WI
122300000X
Dentist
Primary
3499
WI
122300000X
Dentist
6783
WI
Other
Enumeration date
08/09/2005
Last updated
10/23/2019
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