Individual
WESLEY CHIASSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5433 W FOND DU LAC AVE, MILWAUKEE, WI 53216-1382
(414) 277-8900
Mailing address
2257 S WOODWARD ST, MILWAUKEE, WI 53207-1315
(630) 677-8527
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
100224615
WI
Other
Enumeration date
02/25/2020
Last updated
02/25/2020
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