MEDICARE: DR. RICARDO E ARAUJO DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223P0221X	Pediatric Dentistry	4577	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	4577	OTHER	WI	WI LID

General Provider Information

NPI Number	:	1851409957
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICARDO E ARAUJO DDS

Provider Business Mailing Address
First Line	:	17585 W NORTH AVE
Second Line	:	SUITE 230
City	:	BROOKFIELD
State	:	WI
Zip	:	53045-4365
Country	:	US
Telephone Number	:	262-780-9996
Fax Number	:

Provider Business Practice Location Address
First Line	:	17585 W NORTH AVE
Second Line	:	SUITE 230
City	:	BROOKFIELD
State	:	WI
Zip	:	53045-4365
Country	:	US
Telephone Number	:	262-780-9996
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/28/2006
Last Update Date	:	03/07/2023

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