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Individual

DR. ROBERT JOHN WAITE JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
W247 S3114 PRAIRIE AVENUE, WAUKESHA, WI 53189
(262) 544-4404
(262) 544-4399
Mailing address
1125 E BROADWAY, WAUKESHA, WI 53186-8125
(262) 547-1506
(262) 547-7440

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5001365-15
WI

Other

Enumeration date
08/05/2006
Last updated
01/05/2015
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