Individual
DR. GRACE LUCRETIA MACHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
20611 WATERTOWN RD, SUITE K, WAUKESHA, WI 53186-1871
(262) 798-9800
(262) 798-9827
Mailing address
20611 WATERTOWN RD, SUITE K, WAUKESHA, WI 53186-1871
(262) 798-9800
(262) 798-9827
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
5001866-015
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33421700
—
WI
Enumeration date
01/04/2007
Last updated
07/08/2007
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