Individual
DR. BRET WALIGORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
840 N 87TH ST, ORAL AND MAXILLOFACIAL SURGERY, MILWAUKEE, WI 53226-3586
(414) 805-5781
(414) 259-9115
Mailing address
840 N 87TH ST, ORAL AND MAXILLOFACIAL SURGERY, MILWAUKEE, WI 53226-3586
(414) 805-5781
(414) 259-9115
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901021509
MI
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
1001147
WI
Other
Enumeration date
06/02/2015
Last updated
07/02/2015
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