Individual
DR. CLARK REGAN SWEENEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1801 W WISCONSIN AVE, MILWAUKEE, WI 53233-2186
(414) 288-6212
(414) 288-8361
Mailing address
PO BOX 1881, MILWAUKEE, WI 53201-1881
(414) 288-6212
(414) 288-8361
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
5001864
WI
Other
Enumeration date
04/13/2007
Last updated
07/08/2007
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