STEPHANIE NICOLE WAGONER KIMBALL

MADISON, WI
NPI1215160148
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WI  6447-015)
Enumeration Date2009-08-26
Last Update Date2009-08-26
Business Address
Dr. STEPHANIE NICOLE WAGONER KIMBALL D.D.S.
621 S PARK ST
MADISON, WI 53715-1827
Phone number: 608-251-3535
Mailing Address
Dr. STEPHANIE NICOLE WAGONER KIMBALL D.D.S.
621 S PARK ST
MADISON, WI 53715-1827
Phone number: 608-251-3535