IDS

KENOSHA, WI
NPI1689213787
Entity TypeOrganization
Authorized ContactVICKY GILL
Office Manager
847-263-7668
Organization Subpart ?No
Primary Taxonomy1223E0200X Dentist, Endodontics
Enumeration Date2020-01-06
Last Update Date2020-01-06
Business Address
IDS
5021 WASHINGTON RD
KENOSHA, WI 53144-4292
Phone number: 262-654-6770
Mailing Address
IDS
5021 WASHINGTON RD
KENOSHA, WI 53144-4292
Phone number:
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