Individual
BRIAN R TECLAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2301 S 108TH ST, WEST ALLIS, WI 53227-1901
(414) 321-2320
(414) 321-2766
Mailing address
2301 S 108TH ST, WEST ALLIS, WI 53227-1901
(414) 321-2320
(414) 321-2766
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3325
WI
Other
Enumeration date
06/27/2008
Last updated
06/27/2008
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