DR. Thomas Walczyk, DDS

NPI #1154301711 in Keshena, Wisconsin

Provider Information

NPI Number: 1154301711
Entity Type: Individual
Name: DR. Thomas Walczyk, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jan 19, 2006
Last Updated: Sep 10, 2013

Practice Location

Address: W3275 WOLF RIVER ROAD
Address 2: MENOMINEE TRIBAL CLINIC
City: Keshena
State: Wisconsin
ZIP Code: 54135-0970
Phone: (715) 799-3361

Specialties & Taxonomy Codes

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

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