Waldau, Brian Joseph

Waldau, Brian Joseph is an individual health care provider with primary practice located at 1101 S Airline Rd , Mount Pleasant WI 53406-3888. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Waldau, Brian Joseph can be contacted via phone (262) 637-9371.

Contact Information

Primary practice address
1101 S Airline Rd Mount Pleasant WI 53406-3888
Phone: (262) 637-9371
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D8772 Oregon
Dental Providers / Dentist 122300000X 6617 Wisconsin

Profile Details

NPI number 1578624730
LBN Legal business name Waldau, Brian Joseph
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2006
Last updated Sep 12th, 2018 - about 7 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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