WAUWATOSA FAMILY DENTAL is a dental clinic center in Wauwatosa, WI. WAUWATOSA FAMILY DENTAL NPI is 1821580572. The provider is registered as an organization entity type.
The provider's business location address is:
11904 W NORTH AVE STE 105
WAUWATOSA, WI
ZIP 53226-062
Phone: (414) 454-0700
Fax: (414) 778-0705
The provider's authorized official is Christopher Potrykus .
The authorized official title is Owner and has the following contact phone number (262) 646-2771.
The CLIA number assigned to this NPI record is 52D0390759 - physician office with a certificate type of Certificate of Accreditation.
The enumeration date for this NPI number is 5/30/2018 and was last updated on 5/30/2018.