DR. Mitchell Lee Tschakert, DDS

NPI #1104682772 in Superior, Wisconsin

Provider Information

NPI Number: 1104682772
Entity Type: Individual
Name: DR. Mitchell Lee Tschakert, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Feb 22, 2024
Last Updated: Jun 6, 2024

Practice Location

Address: 2222 E 5TH ST
City: Superior
State: Wisconsin
ZIP Code: 54880-3709
Phone: (715) 394-5411

Specialties & Taxonomy Codes

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

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