Individual
DR. JEROME MICHAEL TECLAW
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
131 W LAYTON AVE, SUITE 305, MILWAUKEE, WI 53207-5941
(414) 483-3840
(414) 769-1130
Mailing address
3959 N HARCOURT PL, SHOREWOOD, WI 53211-2445
(414) 962-3972
(414) 769-1130
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
02745
WI
Other
Enumeration date
04/26/2006
Last updated
07/08/2007
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