Organization
THOMAS J RADKE DDS SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS JOHN RADKE DDS (PRESIDENT)
(414) 545-8226
Entity
Organization
Contact information
Practice address
6919 W FOREST HOME AVE, GREENFIELD, WI 53220-2916
(414) 545-8226
(414) 543-4805
Mailing address
6919 W FOREST HOME AVE, GREENFIELD, WI 53220-2916
(414) 545-8226
(414) 543-4805
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3977
WI
Other
Enumeration date
02/26/2007
Last updated
08/22/2020
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