Organization
MAYFAIR FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAKISHA ARIF-HOLMES (DENTIST/OWNER)
(414) 259-0665
Entity
Organization
Contact information
Practice address
11637 W NORTH AVE, WAUWATOSA, WI 53226-2129
(414) 259-0665
Mailing address
11637 W NORTH AVE, WAUWATOSA, WI 53226-2129
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/13/2018
Last updated
06/16/2018
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