122300000X
Milwaukee, WI
Specialty
122300000X
Credential
D.D.S.
NPI
1467832782
840 N 87th St, Milwaukee, WI 53226
(414) 805-9500Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 122300000x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 122300000X