Individual
DR. CHRISTOPHER VISAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3210 GOLF RD, DELAFIELD, WI 53018-2104
(262) 646-8333
(262) 646-2410
Mailing address
3210 GOLF RD, DELAFIELD, WI 53018-2104
(262) 646-8333
(262) 646-2410
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4929
WI
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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