GLORIA T LIST

ELM GROVE, WI
NPI1760733075
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WI  5000062-15)
Enumeration Date2012-09-26
Last Update Date2012-09-26
Business Address
-- GLORIA T LIST DDS
13105 WATERTOWN PLANK RD
ELM GROVE, WI 53122-2213
Phone number: 262-787-1460
Mailing Address
-- GLORIA T LIST DDS
13105 WATERTOWN PLANK RD
ELM GROVE, WI 53122-2213
Phone number: 262-782-1460
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