Individual
DR. JOHN TADYCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2600 N MAYFAIR ROAD, SUITE 750, WAUWATOSA, WI 53226
(414) 257-3366
(414) 258-1390
Mailing address
2600 N MAYFAIR RD, SUITE 750, WAUWATOSA, WI 53226-1309
(414) 257-3366
(414) 258-1390
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3382
WI
Other
Enumeration date
10/07/2010
Last updated
10/16/2015
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