NPI 1003140070

Dcp of Delafield (milwaukee), LLC

Organisation General Practice Dentistry Pewaukee, WI

Practice location

Address: 1300 Capitol Drive Suite a, Pewaukee, WI 53072-2535
Phone: (262) 691-4140
Fax: (262) 691-3359
Mailing address: 17300 Dallas Parkway #1070, Dallas, TX 75248

Authorised official

Name: Dave Krause
Title: Treasurer
Phone: (800) 487-4867

Registered specialties (2)

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X

Other Dentist providers in Wisconsin →

Dentist

Dental Providers Taxonomy 122300000X Licence 6155 (WI)

Registry record

NPI: 1003140070
Entity type: Organization
NPI issued: 24 Sep 2009
Record last updated: 19 Mar 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.