| Mayfaif Family Dentistry | |
|
11637 W North Ave Wauwatosa WI 53226-2129 | |
| (414) 259-0665 | |
| Not Available |
| Full Name | Mayfaif Family Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 11637 W North Ave, Wauwatosa, Wisconsin |
| Authorized Official Name and Position | Lakisha Arif-holmes (DENTIST/OWNER) |
| Authorized Official Contact | 4142590665 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mayfaif Family Dentistry 11637 W North Ave Wauwatosa WI 53226-2129 Ph: () - | Mayfaif Family Dentistry 11637 W North Ave Wauwatosa WI 53226-2129 Ph: (414) 259-0665 |
| NPI Number | 1225553753 |
|---|---|
| Provider Enumeration Date | 08/05/2017 |
| Last Update Date | 08/05/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225553753 | NPI | - | NPPES |
| 1982867024 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 6448-15 (Wisconsin) | Primary |
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› Verified 6 days ago
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