Individual
DR. JAMES RICHARD MAURIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10401 W LINCOLN AVE STE 204, WEST ALLIS, WI 53227-1255
(414) 545-5380
(414) 545-0622
Mailing address
10401 W LINCOLN AVE STE 204, WEST ALLIS, WI 53227-1255
(414) 545-5380
(414) 545-0622
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5001638-015
WI
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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