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Individual

DR. MARK R CREGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
8726 W NORTH AVE, WAUWATOSA, WI 53226
(414) 258-5351
(414) 258-6343
Mailing address
8726 W NORTH AVE, WAUWATOSA, WI 53226
(414) 258-5351
(414) 258-6343

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
04215
WI

Other

Enumeration date
08/13/2006
Last updated
07/08/2007
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