Your Family Dentist
Your Family Dentist is a Dental Clinic/Center in Waukesha, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.
- Licensed in
- WI
- In the registry since
- 2007
Practice location Address checks out
411 N Grand Ave Ste 103Waukesha, WI 53186-4961
Phone: (262) 513-5677
Fax: (262) 513-0077
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X · Licence 5001794-015 (WI) |
|---|
Record details
| NPI number | 1629197769 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michael Lafratta — Partner · (262) 513-5677 |
| NPI enumerated | March 28, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 411 N Grand Ave, Suite 103, Waukesha, WI 53186-4961 |
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Your Family Dentist, LLC
411 N Grand Ave Ste 103, Waukesha, WI 53186-4961 · (262) 513-5677