Individual
POLLYANA MARQUES DE MOURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 266-2040
(414) 266-5677
Mailing address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 266-2040
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
35877
TX
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
85139-875
WI
Other
Enumeration date
01/06/2014
Last updated
03/03/2025
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