Individual
TAYLOR LOUISE DELAURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, MD
Contact information
Practice address
2323 N MAYFAIR RD STE 102, MILWAUKEE, WI 53226-1506
(414) 527-1161
(414) 257-0194
Mailing address
2323 N MAYFAIR RD STE 102, MILWAUKEE, WI 53226-1506
(414) 257-1161
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0000250349
WI
Other
Enumeration date
05/11/2018
Last updated
08/10/2024
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