Healthcare Provider Details

I. General information

NPI: 1619892452
Provider Name (Legal Business Name): MARIA ALCHAOUAF DDS
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 W WISCONSIN AVE
MILWAUKEE WI
53233-2186
US

IV. Provider business mailing address

1801 W WISCONSIN AVE
MILWAUKEE WI
53233-2186
US

V. Phone/Fax

Practice location:
  • Phone: 414-288-6790
  • Fax:
Mailing address:
  • Phone: 414-288-6790
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number87415-875
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: