Individual
DR. SOFIA GRACE DACQUISTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3522 W LISBON AVE, MILWAUKEE, WI 53208-1953
(414) 935-8000
(414) 344-3350
Mailing address
4615 W WOODWARD DR, FRANKLIN, WI 53132-7610
(414) 813-3152
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6001846
WI
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/17/2025
Last updated
06/13/2025
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