Individual
DR. THERESE PICKART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2600 N MAYFAIR RD, SUITE 425, WAUWATOSA, WI 53226-1309
(414) 258-1008
(414) 431-3478
Mailing address
2600 N MAYFAIR RD, SUITE 425, WAUWATOSA, WI 53226-1309
(414) 258-1008
(414) 431-3478
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4612-015
WI
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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