Individual
DENNIS M OBRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
W247 S3114 PRAIRIE AVENUE, WAUKESHA, WI 53189
(262) 544-4404
(262) 544-4399
Mailing address
W247 S3114 PRAIRIE AVENUE, WAUKESHA, WI 53189
(262) 544-4404
(262) 544-4399
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1317G
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1317G
LICENSE
WI
Enumeration date
05/01/2007
Last updated
07/08/2007
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