POORNIMA JAYAPRAKASH

RACINE, WI
NPI1417014572
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WI  4048)
Enumeration Date2007-01-01
Last Update Date2007-07-08
Business Address
Dr. POORNIMA JAYAPRAKASH
6218 WASHINGTON AVE SUITE C
RACINE, WI 53406-3916
Phone number: 262-886-1300
Mailing Address
Dr. POORNIMA JAYAPRAKASH
6218 WASHINGTON AVE SUITE C
RACINE, WI 53406-3916
Phone number: 262-886-1300