Delafield Dental Specialists LLC

NPI #1407208002 in Delafield, Wisconsin

Provider Information

NPI Number: 1407208002
Entity Type: Organization
Organization Name: Delafield Dental Specialists LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 7, 2016
Last Updated: Jul 7, 2016

Practice Location

Address: 920 INDIAN SPRING DR
City: Delafield
State: Wisconsin
ZIP Code: 53018-2242
Phone: (262) 646-2771

Authorized Official

Name: MR. CHRISTOPHER POTRYKUS, DDS
Title: OWNER
Phone: (262) 646-2771

Specialties & Taxonomy Codes

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

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