Individual
GREGORY MACHULAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3705 NORTH 92ND STREET, MILWAUKEE, WI 53222-2501
(414) 464-5470
Mailing address
3705 NORTH 92ND STREET, MILWAUKEE, WI 53222-2501
(414) 464-5470
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5001887
WI
Other
Enumeration date
09/07/2006
Last updated
07/08/2007
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