Individual
DR. PETER G REICHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
2140 W SAINT PAUL AVE, SUITE A, WAUKESHA, WI 53188-9541
(262) 547-2827
(262) 547-1269
Mailing address
2140 W SAINT PAUL AVE, SUITE A, WAUKESHA, WI 53188-9541
(262) 547-2827
(262) 547-1269
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3354-015
WI
Other
Enumeration date
10/03/2006
Last updated
05/12/2010
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