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Individual

DR. JOSEPH L FAHL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
429 N GRAND AVE, WAUKESHA, WI 53186-4913
(262) 547-2229
Mailing address
429 N GRAND AVE, WAUKESHA, WI 53186-4913
(262) 547-2229

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4253
WI

Other

Enumeration date
11/15/2006
Last updated
07/08/2007
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