Individual
DR. NICHOLAS DWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3333 S SUNNYSLOPE RD STE 100, NEW BERLIN, WI 53151-4504
(262) 505-1000
Mailing address
3333 S SUNNYSLOPE RD STE 100, NEW BERLIN, WI 53151-4504
(262) 505-1000
(262) 505-1019
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1001083-15
WI
Other
Enumeration date
04/29/2015
Last updated
08/11/2021
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