Provider Demographics
NPI:1992891394
Name:STREHLOW, CHARLES FRANCIS (DDS)
Entity type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:FRANCIS
Last Name:STREHLOW
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15752 W NATIONAL AVE
Mailing Address - Street 2:
Mailing Address - City:NEW BERLIN
Mailing Address - State:WI
Mailing Address - Zip Code:53151-5119
Mailing Address - Country:US
Mailing Address - Phone:262-785-0776
Mailing Address - Fax:
Practice Address - Street 1:15752 WEST NATIONAL AVE.
Practice Address - Street 2:
Practice Address - City:NEW BERLIN
Practice Address - State:WI
Practice Address - Zip Code:53151-5119
Practice Address - Country:US
Practice Address - Phone:262-785-0776
Practice Address - Fax:262-785-0776
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2016-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI27611223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice