Individual
DR. MICHAEL JOSEPH TUPTA III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
777 E PARK AVE, CHIPPEWA FALLS, WI 54729-3508
(715) 723-0366
Mailing address
777 E PARK AVE, CHIPPEWA FALLS, WI 54729-3508
(715) 723-0366
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1002597-15
WI
Other
Enumeration date
07/02/2021
Last updated
07/02/2021
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