| NPI | 1083086821 |
|---|---|
| Doing Business As | DENTACARE KENOSHA |
| Entity Type | Organization |
| Authorized Contact | DONOVON LEE Owner 414-306-6420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2015-10-20 |
| Last Update Date | 2015-10-20 |