Provider Demographics
NPI:1477716504
Name:TROCHLELL, ANGELA MARIE (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:MARIE
Last Name:TROCHLELL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:16655 W BLUEMOUND RD
Mailing Address - Street 2:SUITE 380
Mailing Address - City:BROOKFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53005-5957
Mailing Address - Country:US
Mailing Address - Phone:262-786-1270
Mailing Address - Fax:262-786-0023
Practice Address - Street 1:16655 W BLUEMOUND RD
Practice Address - Street 2:SUITE 380
Practice Address - City:BROOKFIELD
Practice Address - State:WI
Practice Address - Zip Code:53005-5957
Practice Address - Country:US
Practice Address - Phone:262-786-1270
Practice Address - Fax:262-786-0023
Is Sole Proprietor?:No
Enumeration Date:2008-07-09
Last Update Date:2008-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI59960151223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry