DENTAL 360 KENOSHA

KENOSHA, WI
NPI1669199600
Entity TypeOrganization
Authorized ContactIVANA BUENO
Director
773-798-9382
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2022-10-20
Last Update Date2022-10-20
Business Address
DENTAL 360 KENOSHA
3726 ROOSEVELT RD
KENOSHA, WI 53142-1900
Phone number: 262-652-7956
Mailing Address
DENTAL 360 KENOSHA
3726 ROOSEVELT RD
KENOSHA, WI 53142-1900
Phone number: