NPI 1215740576
Wisconsin Dental Team, a Service Corporation
Practice location
- Address
- 805 N Mayfair Rd, Wauwatosa, WI 53226-4241
- Phone
- (414) 567-0662
- Fax
- (414) 249-6075
- Mailing address
- 9709 Lakeside Blvd STE 350, Spring, TX 77381-1213
Authorised official
- Name
- Alejandra Rivera
- Title
- Owner
- Phone
- (813) 388-1553
Registered specialties
Pediatric Dentistry
Primary
Registry record
- NPI
- 1215740576
- Entity type
- Organization
- NPI issued
- 30 Jan 2025
- Record last updated
- 20 Jun 2025
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.