Individual
MRS. RANDY MCGRATH HOFFMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2600 N MAYFAIR RD, SUITE 945, WAUWATOSA, WI 53226
(414) 258-5501
(414) 258-2286
Mailing address
3461 N SHEPARD AVENUE, MILWAUKEE, WI 53211
(414) 962-9850
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2471-015
WI
Other
Enumeration date
07/22/2008
Last updated
07/22/2008
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