NPI | 1821419797 |
---|---|
Former Legal Business Name | KATHLEEN KLONOWSKI DDS & ASHLY BAILEYDDS PLC |
Former Legal Business Name | KATHLEEN L. KLONOWSKI, DDS, PLC |
Entity Type | Organization |
Authorized Contact | ASHLY BAILEY Owner 608-338-7705 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2013-12-19 |
Last Update Date | 2023-01-24 |