RUSSELL THEODORE KITTLESON

MEQUON, WI
NPI1528264819
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: WI  4001404)
Enumeration Date2007-06-22
Last Update Date2007-07-08
Business Address
-- RUSSELL THEODORE KITTLESON DDS
10521 N PORT WASHINGTON RD # 13W
MEQUON, WI 53092-5584
Phone number: 262-241-3142
Mailing Address
-- RUSSELL THEODORE KITTLESON DDS
10521 N PORT WASHINGTON RD # 13W
MEQUON, WI 53092-5584
Phone number: 262-241-3142
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