Individual
DR. JAMES RICHARD SZYMCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
12660 W NORTH AVE, BROOKFIELD, WI 53005-4633
(262) 796-1312
Mailing address
12660 W NORTH AVE, BROOKFIELD, WI 53005-4633
(262) 796-1312
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5000831015
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1669518213
EASTBROOK DENTAL ASSOCIATES
WI
Enumeration date
03/09/2006
Last updated
09/13/2011
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