Provider Demographics
NPI:1619924438
Name:TAMMI, MARIA ELENA (DDS;MS)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:ELENA
Last Name:TAMMI
Suffix:
Gender:F
Credentials:DDS;MS
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1285 SUNNYRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:PEWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53072-3817
Mailing Address - Country:US
Mailing Address - Phone:262-691-1987
Mailing Address - Fax:414-744-0333
Practice Address - Street 1:1285 SUNNYRIDGE RD
Practice Address - Street 2:
Practice Address - City:PEWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53072-3817
Practice Address - Country:US
Practice Address - Phone:262-691-1987
Practice Address - Fax:414-744-0333
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3694-0151223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics