Jay L. Mackman, DDS
Jay L. Mackman, DDS is a General Practice Dentistry in Wauwatosa, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2010.
- Licensed in
- WI
- In the registry since
- 2010
Practice location Address checks out
2626 N 76th StWauwatosa, WI 53213-1137
Phone: (414) 476-9400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X (WI) |
|---|
Record details
| NPI number | 1003116765 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Karien Bakker — Coo · (414) 774-7794 |
| NPI enumerated | October 28, 2010 |
| Last updated in NPPES | October 28, 2010 |
| Mailing address | 2626 N 76th St, Wauwatosa, WI 53213-1137 |
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