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1003914607
KENNETH PAUL FERENTCHAK
WAUWATOSA, WI
NPI
1003914607
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WI 4039)
Enumeration Date
2006-09-20
Last Update Date
2007-07-08
Business Address
-- KENNETH PAUL FERENTCHAK DDS
1011 N MAYFAIR RD SUITE 303
WAUWATOSA, WI 53226-3431
Phone number: 414-771-4480
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Mailing Address
-- KENNETH PAUL FERENTCHAK DDS
1011 N MAYFAIR RD SUITE 303
WAUWATOSA, WI 53226-3431
Phone number: 414-771-4480
Copy
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