Individual
DR. JEROME A MAHALICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
421 E SILVER SPRING DR, SUITE 3, WHITEFISH BAY, WI 53217-5210
(414) 332-1011
Mailing address
421 EAST SILVER SPRING DRIVE, SUITE 3, WHITEFISH BAY, WI 53217
(414) 332-1011
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5000323-015
WI
Other
Enumeration date
05/20/2009
Last updated
05/20/2009
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