Individual
ERIC P TESCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7906 N 76TH ST, MILWAUKEE, WI 53223-3916
(414) 354-9020
Mailing address
1409 CRYSTAL LAKE DR, OCONOMOWOC, WI 53066-1769
(262) 569-8980
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4719
WI
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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