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Individual

MAX CARPENTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3522 W LISBON AVE, MILWAUKEE, WI 53208-1953
(414) 935-8000
(414) 935-8011
Mailing address
1210 N 62ND ST APT 321, WAUWATOSA, WI 53213-3063
(616) 558-3697

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1002306-15
WI

Other

Enumeration date
03/18/2020
Last updated
08/13/2020
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