Individual
DR. DAVID CHARLES WAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
N 2305 HWY K, MONROE, WI 53566-0000
(608) 325-9627
Mailing address
N 2305 HWY K, MONROE, WI 53566-3566
(608) 325-9627
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
5000577-015
WI
1223G0001X
General Practice Dentistry
Primary
5000577-015
WI
Other
Enumeration date
08/22/2008
Last updated
08/22/2008
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