Individual
DR. PAUL MARK SANDVICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6070 N PORT WASHINGTON RD, MILWAUKEE, WI 53217-4524
(414) 962-4100
Mailing address
6070 N PORT WASHINGTON RD, MILWAUKEE, WI 53217-4524
(414) 962-4100
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2726
WI
Other
Enumeration date
10/26/2006
Last updated
07/08/2007
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