Organization
GENERATIONS FAMILY DENTAL CARE-TOSA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW J BABCOCK DDS (MANAGING MEMBER)
(414) 258-2117
Entity
Organization
Contact information
Practice address
2505 N MAYFAIR RD STE 103, WAUWATOSA, WI 53226-1404
(414) 258-2117
(414) 258-4117
Mailing address
2505 N MAYFAIR RD STE 103, WAUWATOSA, WI 53226-1404
(414) 258-2117
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/20/2020
Last updated
05/20/2020
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