Individual
SYEDA FATIMA WASTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
6301 UNIVERSITY AVE, MIDDLETON, WI 53562-3415
(608) 238-6244
Mailing address
6301 UNIVERSITY AVE, MIDDLETON, WI 53562-3415
(608) 238-6244
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1002376
WI
Other
Enumeration date
07/22/2020
Last updated
07/22/2020
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