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Organization

JEFFREY O'BRIEN, D.D.S., S.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JEFFREY M O'BRIEN D.D.S. (DENTIST)
(262) 544-4404
Entity
Organization

Contact information

Practice address
W247S3114 PRAIRIE AVE, WAUKESHA, WI 53189-7321
(262) 544-4404
(262) 544-4399
Mailing address
W247S3114 PRAIRIE AVE, WAUKESHA, WI 53189-7321
(262) 544-4404
(262) 544-4399

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
01/18/2013
Last updated
01/18/2013
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