Individual
DR. HANNAH GRACE TAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1231 GEORGE TOWNE DR STE D, PEWAUKEE, WI 53072-2756
(262) 691-9832
(262) 691-9871
Mailing address
10105 JOHN ASHLEY CT, LOUISVILLE, KY 40299-5867
(901) 355-9445
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
10584
KY
122300000X
Dentist
6001033-15
WI
1223G0001X
General Practice Dentistry
Primary
6001033-15
WI
Other
Enumeration date
06/07/2021
Last updated
08/04/2022
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