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Individual

DAVID C THAO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S

Contact information

Practice address
8700 W WATERTOWN PLANK RD, WAUWATOSA, WI 53226-3595
(414) 453-0445
Mailing address
8700 W WATERTOWN PLANK RD, WAUWATOSA, WI 53226-3595
(414) 453-0445

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6515
WI

Other

Enumeration date
05/31/2010
Last updated
02/12/2016
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