DALE WAYNE WILLOUGHBY

KENOSHA, WI
NPI1700880556
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: WI  4998-015)
Enumeration Date2005-06-09
Last Update Date2022-06-02
Business Address
DALE WAYNE WILLOUGHBY DDS
6707 39TH AVE
KENOSHA, WI 53142-7125
Phone number: 262-658-3559
Mailing Address
DALE WAYNE WILLOUGHBY DDS
6707 39TH AVE
KENOSHA, WI 53142-7125
Phone number: 262-658-3559
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