Organization
ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES OF WAUKESHA, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY STEPHEN NOVAK D.D.S. (PRESIDENT)
(262) 547-8665
Entity
Organization
Contact information
Practice address
1111 DELAFIELD ST, SUITE 222, WAUKESHA, WI 53188-3403
(262) 547-8665
(262) 547-4328
Mailing address
1111 DELAFIELD ST, SUITE 222, WAUKESHA, WI 53188-3403
(262) 547-8665
(262) 547-4328
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
08/25/2006
Last updated
08/21/2012
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