Individual
DR. THOMAS JAMES FORECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS,SC
Contact information
Practice address
6203 S HOWELL AVE, MILWAUKEE, WI 53207
(414) 764-5770
Mailing address
6203 S HOWELL AVE, MILWAUKEE, WI 53207
(414) 764-5770
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5001915
WI
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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