Individual
DR. MANSI P UPADHYAYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
5324 S 27TH ST, MILWAUKEE, WI 53221-3724
(630) 212-0911
Mailing address
1812 E LAFAYETTE PL, APT #404, MILWAUKEE, WI 53202-1188
(630) 212-0911
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7219
WI
1223G0001X
General Practice Dentistry
019.029293
IL
Other
Enumeration date
01/08/2013
Last updated
02/22/2016
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