Organization
COMPLETE FAMILY DENTISTRY ON BROADWAY
Active
Other names
complete family dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAREN M JAHIMIAK DDS (PARTNER)
(262) 549-6850
Entity
Organization
Contact information
Practice address
419 E BROADWAY, WAUKESHA, WI 53186-5082
(262) 549-6850
(262) 549-2157
Mailing address
419 E BROADWAY, WAUKESHA, WI 53186-5082
(262) 549-6850
(262) 549-2157
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3689
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33495600
—
WI
Enumeration date
08/09/2005
Last updated
08/22/2020
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