ELLIOT VINCENT HUMISTON

SHEBOYGAN, WI
NPI1275101552
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WI  1002549-15)
Enumeration Date2021-06-14
Last Update Date2021-06-14
Business Address
ELLIOT VINCENT HUMISTON DDS
1337 N TAYLOR DR
SHEBOYGAN, WI 53081-3012
Phone number: 920-452-4688
Mailing Address
ELLIOT VINCENT HUMISTON DDS
1337 N TAYLOR DR
SHEBOYGAN, WI 53081-3012
Phone number: 920-452-4688
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