Suzanne Conley Tack D.D.S.

NPI 1184880940 - Dentist - 1223G0001X

NPI Details
NPI 1184880940
Gender Female
Enumeration Date 07/31/2008
Last Updated 11/01/2012
Entity Type Individual
Active Over 8 years ago
Practice Location
105 W SILVER SPRING DR
WHITEFISH BAY WI, 53217-4708, US
Phone (414) 964-0680
Fax
Business Location
105 W SILVER SPRING DR
WHITEFISH BAY WI, 53217-4708, US
Phone
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Wisconsin
License Number 6252-015
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According to our database, Dr. Suzanne Conley Tack D.D.S. NPI is 1184880940, taxonomy code is 1223G0001X and license number is 6252-015, license state is located at Wisconsin. Suzanne Conley Tack D.D.S. physically located at 105 W Silver Spring Dr, Whitefish Bay WI, 53217-4708. NPI Number Suzanne Conley Tack D.D.S. has the Individual type.

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1184880940 NPI number is provided on an as is basis without warranty of any kind. 1184880940 is maintained by the National Plan & Provider Enumeration System. The contents of Suzanne Conley Tack D.D.S. are for informational purposes only.