Individual
MORRIS JOSE DE LEON ANDRINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2727 N GRANDVIEW BLVD STE 206, WAUKESHA, WI 53188-1671
(262) 542-8402
Mailing address
3333 N MAYFAIR RD, SUITE 311, WAUWATOSA, WI 53222-3219
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
60332
CA
1223P0221X
Pediatric Dentistry
Primary
7165
WI
Other
Enumeration date
04/28/2011
Last updated
11/16/2020
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