NPI 1073136420
Generations Family Dental Care-Tosa, LLC
Practice location
- Address
- 2505 N Mayfair Rd STE 103, Wauwatosa, WI 53226-1404
- Phone
- (414) 258-2117
- Fax
- (414) 258-4117
Authorised official
- Name
- Matthew J Babcock
- Title
- Managing Member
- Phone
- (414) 258-2117
Registered specialties
General Practice Dentistry
Primary
Registry record
- NPI
- 1073136420
- Entity type
- Organization
- NPI issued
- 20 May 2020
- Record last updated
- 20 May 2020
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.