DR. Thomas Erwin Tadysak, DDS

NPI #1881806149 in Hayward, Wisconsin

Provider Information

NPI Number: 1881806149
Entity Type: Individual
Name: DR. Thomas Erwin Tadysak, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: May 7, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 10610 MAIN ST
City: Hayward
State: Wisconsin
ZIP Code: 54843
Phone: (715) 638-3403

Specialties & Taxonomy Codes

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

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