Individual
DR. MENA GHALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
11345 N PORT WASHINGTON RD, MEQUON, WI 53092-3411
(262) 442-8297
Mailing address
2509 EMSLIE DR, WAUKESHA, WI 53188-2048
(262) 442-8297
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6894-15
WI
Other
Enumeration date
04/08/2012
Last updated
05/25/2012
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