DR. Jay L Mackman, DDS

NPI #1821194184 in Wauwatosa, Wisconsin

Provider Information

NPI Number
1821194184
Entity Type
Individual
Name
DR. Jay L Mackman, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - Oral and Maxillofacial Pathology
Credential
DDS
Enumeration Date
Sep 15, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
2626 N 76TH ST
ZIP Code
53213
Phone
(414) 476-9400

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial PathologyOral and Maxillofacial Pathology

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