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1114121563
ISSA DKEIDEK
MILWAUKEE, WI
NPI
1114121563
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: WI 6107 - 15)
Enumeration Date
2007-06-11
Last Update Date
2007-07-08
Business Address
Dr. ISSA DKEIDEK D.D.S.
11711 W BURLEIGH ST
MILWAUKEE, WI 53222-3108
Phone number: 800-315-7007
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Mailing Address
Dr. ISSA DKEIDEK D.D.S.
1014 N ASTOR ST APT 23
MILWAUKEE, WI 53202-3317
Phone number: 716-713-2613
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