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Contact Information

MICHELLE N DACOSTA, DDS
2555 N DR MARTIN LUTHER KING DR
MILWAUKEE HEALTH SERVICES INC
MILWAUKEE, WI53212-2709
 Phone: 414-372-8080
 Fax: 414-760-3983
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
 

Dental Public Health

1223D0001X
Indicates primary specialty

NPI Profile & details for MICHELLE N DACOSTA · (Female)

NPI Number 1104963784
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 01/31/2007
Last updated 08/19/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 4727
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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