Organization
YOUR FAMILY DENTIST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES F. MURPHY (PARTNER)
(262) 513-5677
Entity
Organization
Contact information
Practice address
411 N GRAND AVE, SUITE 103, WAUKESHA, WI 53186-4961
(262) 513-5677
Mailing address
411 N GRAND AVE, SUITE 103, WAUKESHA, WI 53186-4961
(262) 513-5677
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4761-15
WI
Other
Enumeration date
07/09/2012
Last updated
07/09/2012
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