NPI 1174604888

Douglas Persich, DDS

Organisation General Practice Dentistry West Allis, WI

Practice location

Address: 7130 W Greenfield Ave, West Allis, WI 53214-4708
Phone: (414) 258-2500
Fax: (414) 238-6881

Authorised official

Name: Douglas J Persich
Title: Owner
Phone: (414) 258-2500

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 5001644 (WI)

Other Dentist providers in Wisconsin →

Registry record

NPI: 1174604888
Entity type: Organization
NPI issued: 18 Oct 2006
Record last updated: 22 Aug 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.