Individual
DR. SUZANNE CONLEY TACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
108 E FREISTADT RD, THIENSVILLE, WI 53092
(414) 687-0719
Mailing address
108 E FREISTADT RD, THIENSVILLE, WI 53092
(414) 687-0719
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6252-015
WI
Other
Enumeration date
07/31/2008
Last updated
08/31/2022
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