Individual
ERIC TAIBL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2727 N GRANDVIEW BLVD, WAUKESHA, WI 53188-6100
(262) 542-6755
Mailing address
2727 N GRANDVIEW BLVD, WAUKESHA, WI 53188-6100
(262) 542-6755
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6417
WI
Other
Enumeration date
07/15/2009
Last updated
07/15/2009
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