Organization
YOUR FAMILY DENTIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL S. LAFRATTA D.D.S. (PARTNER)
(262) 513-5677
Entity
Organization
Contact information
Practice address
411 N GRAND AVE, SUITE 103, WAUKESHA, WI 53186-4961
(262) 513-5677
(262) 513-0077
Mailing address
411 N GRAND AVE, SUITE 103, WAUKESHA, WI 53186-4961
(262) 513-5677
(262) 513-0077
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
5001794-015
WI
Other
Enumeration date
03/28/2007
Last updated
08/22/2020
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