J.l. Mackman DDS

NPI #1457472441 in Wauwatosa, Wisconsin

Provider Information

NPI Number: 1457472441
Entity Type: Organization
Organization Name: J.l. Mackman DDS
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 3, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 2626 N WAUWATOSA AVE
City: Wauwatosa
State: Wisconsin
ZIP Code: 53213-1137
Phone: (414) 476-9400

Authorized Official

Name: DR. JAY L MACKMAN
Title: DENTIST
Phone: (414) 476-9400

Specialties & Taxonomy Codes

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

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