Individual
DR. PERRY WAYNE SUKOWATEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2600 N MAYFAIR RD, SUITE 4540, WAUWATOSA, WI 53226
(414) 258-8444
(414) 258-9121
Mailing address
2600 N MAYFAIR RD, SUITE 4540, WAUWATOSA, WI 53226
(414) 258-8444
(414) 258-9121
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3056WI
WI
Other
Enumeration date
02/29/2008
Last updated
02/29/2008
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