Organization
MARION FAMILY DENTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS MCCARTHY DDS (OWNER)
(262) 786-4819
Entity
Organization
Contact information
Practice address
4302 N 76TH STREET, MILWAUKEE, WI 53222
(414) 462-9420
Mailing address
4302 N 7TH STREET, MILWAUKEE, WI 53222
(414) 462-9420
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/20/2008
Last updated
05/20/2008
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