Organization
MILWAUKEE ORAL SURGERY & IMPLANTS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY ANDREWS (OFFICE MANAGER)
(414) 257-1161
Entity
Organization
Contact information
Practice address
2323 N MAYFAIR RD, #102, MILWAUKEE, WI 53226
(414) 257-1161
(414) 257-0194
Mailing address
2323 N MAYFAIR RD, #102, MILWAUKEE, WI 53226-1506
(414) 257-1161
(414) 257-0194
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38391000
—
WI
Enumeration date
05/30/2006
Last updated
06/05/2018
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