NPI | 1811398654 |
---|---|
Doing Business As | KRISSY CONNOR DDS |
Entity Type | Organization |
Authorized Contact | KRISSY CONNOR Owner/Dds 262-923-7879 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: WI 6310-015) |
Enumeration Date | 2014-09-11 |
Last Update Date | 2024-03-07 |