Individual
DR. WILLIAM NICHOLAS STATHAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2300 N MAYFAIR RD, SUITE 345, WAUWATOSA, WI 53226-1505
(414) 456-9020
(414) 456-9021
Mailing address
2323 N MAYFAIR RD, STE 420, WAUWATOSA, WI 53226-1534
(414) 456-9020
(414) 456-9021
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2076G
WI
Other
Enumeration date
06/30/2006
Last updated
02/24/2016
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