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1104042274
JOHN C. KITTLESON
MEQUON, WI
NPI
1104042274
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: WI 4648-015)
Enumeration Date
2007-04-17
Last Update Date
2007-07-08
Business Address
Dr. JOHN C. KITTLESON D.D.S.
10521 N PORT WASHINGTON RD
MEQUON, WI 53092-5584
Phone number: 262-241-3141
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Mailing Address
Dr. JOHN C. KITTLESON D.D.S.
10521 N PORT WASHINGTON RD
MEQUON, WI 53092-5584
Phone number: 262-241-3141
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