KEITH GERARD SIMONS

WAUSAU, WI
NPI1679868111
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WI  6716-15)
Additional Taxonomies122300000X Dentist
(Licence: WI  6716015)
Enumeration Date2011-06-13
Last Update Date2024-12-18
Business Address
KEITH GERARD SIMONS DDS
1204 MERRILL AVE
WAUSAU, WI 54401
Phone number: 715-842-3704
Mailing Address
KEITH GERARD SIMONS DDS
1204 MERRILL AVE
WAUSAU, WI 54401
Phone number: 715-842-3704