Tache, Daniel E

Tache, Daniel E is an individual health care provider with primary practice located at 2626 N 76Th St , Wauwatosa WI 53213-1137. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Tache, Daniel E can be contacted via phone (414) 476-9400.

Contact Information

Primary practice address
2626 N 76Th St Wauwatosa WI 53213-1137
Phone: (414) 476-9400
Fax: (414) 774-7794
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 5089-15 Wisconsin

Profile Details

NPI number 1174669634
LBN Legal business name Tache, Daniel E
Credentials D.M.D.,F.A.G.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
Last updated Apr 12th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174669634 NPPES
Wisconsin MEDICAID 33755200

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