Organization
DR. JAMES R. MAURIN DDS SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES RICHARD MAURIN DDS (PRESIDENT / DENTIST)
(414) 545-5380
Entity
Organization
Contact information
Practice address
10401 W LINCOLN AVE, STE. 204, WEST ALLIS, WI 53227-1255
(414) 545-5380
(414) 545-0622
Mailing address
10401 W LINCOLN AVE, STE. 204, WEST ALLIS, WI 53227-1255
(414) 545-5380
(414) 545-0622
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5001638-015
WI
Other
Enumeration date
08/02/2006
Last updated
08/22/2020
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