Whalio Doctors

NPI 1003914607

Kenneth Paul Ferentchak, DDS

Practitioner General Practice Dentistry Wauwatosa, WI

Practice location

Address
1011 N Mayfair Rd Suite 303, Wauwatosa, WI 53226-3431
Phone
(414) 771-4480
Fax
(414) 771-8862

Registered specialties

General Practice Dentistry Primary
Dental Providers Taxonomy 1223G0001X Licence 4039 (WI)

Registry record

NPI
1003914607
Entity type
Individual
Sex (as registered)
Male
NPI issued
20 Sep 2006
Record last updated
8 Jul 2007

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.