Generations Family Dental Care-Tosa, LLC

NPI #1073136420 in Wauwatosa, Wisconsin

Provider Information

NPI Number: 1073136420
Entity Type: Organization
Organization Name: Generations Family Dental Care-Tosa, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: May 20, 2020
Last Updated: May 20, 2020

Practice Location

Address: 2505 N MAYFAIR RD STE 103
City: Wauwatosa
State: Wisconsin
ZIP Code: 53226-1404
Phone: (414) 258-2117

Authorized Official

Name: DR. MATTHEW J BABCOCK, DDS
Title: MANAGING MEMBER
Phone: (414) 258-2117

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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