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1205842721
KENNETH ERIC ANTONOFF
KENOSHA, WI
NPI
1205842721
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: WI 6823-15)
Enumeration Date
2006-08-01
Last Update Date
2022-06-16
Business Address
Dr. KENNETH ERIC ANTONOFF D.D.S
6803 SHERIDAN RD
KENOSHA, WI 53143-1321
Phone number: 262-484-4356
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Mailing Address
Dr. KENNETH ERIC ANTONOFF D.D.S
6803 SHERIDAN RD
KENOSHA, WI 53143-1321
Phone number: 262-484-4356
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