Most Relevant Information
Provider Data
| NPI Number: | 1003658576 |
| Provider Name: | ELIZABETH VAN WHY DMD |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 6001546-15 |
Most Important Dates
| Enumeration Date: | 06/06/2024 |
| Last Updated: | 06/06/2024 |
Provider Practice Location
N14W23833 STONE RIDGE DR STE 100
WAUKESHA
WI
531881189
Practice Location Phone/Fax
| Phone: | 2625428860 |
| Fax: |
Provider Mailing Location
11396 N CREEKSIDE CT
MEQUON
WI
530924377
Provider Mailing Phone/Fax
| Phone: | 2623888935 |
| Fax: |