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1992486203
JUSTIN MICHAEL SERVAIS
LA CROSSE, WI
NPI
1992486203
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WI 600131415)
Enumeration Date
2023-07-28
Last Update Date
2024-10-17
Business Address
JUSTIN MICHAEL SERVAIS DMD
2830 DARLING CT
LA CROSSE, WI 54601-2754
Phone number: 608-783-7330
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Mailing Address
JUSTIN MICHAEL SERVAIS DMD
4702 CREEKWOOD LN APT 304
MADISON, WI 53704-2482
Phone number: 608-790-0200
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