Individual
DR. DANIEL E TACHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.,F.A.G.D.
Contact information
Practice address
2626 N 76TH ST, WAUWATOSA, WI 53213-1137
(414) 476-9400
(414) 774-7794
Mailing address
2626 N 76TH ST, WAUWATOSA, WI 53213-1137
(414) 476-9400
(414) 774-7794
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5089-15
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33755200
—
WI
Enumeration date
01/30/2007
Last updated
04/12/2010
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