Individual
DR. AUSTIN MICHAEL DODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1801 W WISCONSIN AVE, MILWAUKEE, WI 53233-2186
(715) 254-7304
Mailing address
1801 W WISCONSIN AVE, MILWAUKEE, WI 53233-2186
(715) 254-7304
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
100194515
WI
Other
Enumeration date
10/25/2018
Last updated
10/25/2018
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