Healthcare Provider Details

I. General information

NPI: 1801707997
Provider Name (Legal Business Name): ARSALA KHALID BDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
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: 319-471-0906
  • Fax:
Mailing address:
  • Phone: 319-471-0906
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number87860-875
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: