Brookfield Family Dentistry
NPI #1508035445 in Brookfield, Wisconsin
Provider Information
- NPI Number
- 1508035445
- Entity Type
- Organization
- Organization Name
- Brookfield Family Dentistry
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Feb 25, 2008
- Last Updated
- Feb 25, 2008
Practice Location
- Address
- 17185 W NORTH AVE
- City
- Brookfield
- State
- Wisconsin
- ZIP Code
- 53005-4428
- Phone
- (262) 821-1000
Authorized Official
- Name
- DR. THOMAS THADDEOUS TANG, D.D.S.
- Title
- PRESIDENT
- Phone
- (262) 821-1000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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