| Your Family Dentist, Llc | |
|
411 N Grand Ave Suite 103 Waukesha WI 53186-4961 | |
| (262) 513-5677 | |
| Not Available |
| Full Name | Your Family Dentist, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 411 N Grand Ave, Waukesha, Wisconsin |
| Authorized Official Name and Position | James F. Murphy (PARTNER) |
| Authorized Official Contact | 2625135677 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Your Family Dentist, Llc 411 N Grand Ave Suite 103 Waukesha WI 53186-4961 Ph: (262) 513-5677 | Your Family Dentist, Llc 411 N Grand Ave Suite 103 Waukesha WI 53186-4961 Ph: (262) 513-5677 |
| NPI Number | 1114282829 |
|---|---|
| Provider Enumeration Date | 07/09/2012 |
| Last Update Date | 07/09/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114282829 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 4761-15 (Wisconsin) | Primary |
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