JASON T WATKA

KENOSHA, WI
NPI1669617833
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: WI  6921-016)
Enumeration Date2008-12-02
Last Update Date2008-12-02
Business Address
-- JASON T WATKA
6226 14TH AVE
KENOSHA, WI 53143-4413
Phone number: 262-925-1675
Mailing Address
-- JASON T WATKA
6226 14TH AVE
KENOSHA, WI 53143-4413
Phone number: 262-925-1675
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