KENOSHA DENTIST LLC

KENOSHA, WI
NPI1205364197
Entity TypeOrganization
Authorized ContactDOMINIC KACZYNSKI
Business Manager
262-244-0700
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2017-05-23
Last Update Date2017-05-23
Business Address
KENOSHA DENTIST LLC
5455 SHERIDAN RD STE 201
KENOSHA, WI 53140-3752
Phone number: 262-244-0700
Mailing Address
KENOSHA DENTIST LLC
5455 SHERIDAN RD STE 201
KENOSHA, WI 53140-3752
Phone number:
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