Individual provider · Type 1 NPI

Monica Patrick, DMD

Student in an Organized Health Care Education/Training Program · Waukesha, WI

NPI number 1760904742 Active

Practice location

2117 Corporate Dr
Waukesha, WI 53189-7573

Call (608) 432-2552 Map

Mailing address

2117 Corporate Dr Ste 300
Waukesha, WI 53189-7573

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X019.031160 (IL)
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X1002269-15 (WI)
Student in an Organized Health Care Education/Training Program Primary 390200000XRES-30518 (IA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1760904742

Monica Patrick, DMD's National Provider Identifier is 1760904742, issued on Jul 12, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Waukesha, WI. The record was last updated on Aug 14, 2023.