DR. Jason M Mailhot, DMD

NPI #1851346613 in Wauwatosa, Wisconsin

Provider Information

NPI Number: 1851346613
Entity Type: Individual
Name: DR. Jason M Mailhot, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - Periodontics
Credential: DMD
Enumeration Date: May 23, 2006
Last Updated: Jul 9, 2007

Practice Location

Address: 2600 N MAYFAIR RD
Address 2: SUITE #340
City: Wauwatosa
State: Wisconsin
ZIP Code: 53226-1309
Phone: (414) 259-0660

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Periodontics — Periodontics	1223P0300X	Primary

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