Carol Jean Antisdel D,D,S,

NPI 1821213653 - Dentist - 1223G0001X

NPI Details
NPI 1821213653
Gender Female
Enumeration Date 04/16/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
661 E GREEN BAY AVE
SAUKVILLE WI, 53080-2013, US
Phone (262) 284-7111
Fax (262) 284-1172
Business Location
661 E GREEN BAY AVE
SAUKVILLE WI, 53080-2013, US
Phone (262) 284-7111
Fax (262) 284-1172
Toxanomy
Taxonomy Code 1223G0001X
License State Wisconsin
License Number 2486-015
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According to our database, Dr. Carol Jean Antisdel D,D,S, NPI is 1821213653, taxonomy code is 1223G0001X and license number is 2486-015, license state is located at Wisconsin. Carol Jean Antisdel D,D,S, physically located at 661 E Green Bay Ave, Saukville WI, 53080-2013. NPI Number Carol Jean Antisdel D,D,S, has the Individual type.

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1821213653 NPI number is provided on an as is basis without warranty of any kind. 1821213653 is maintained by the National Plan & Provider Enumeration System. The contents of Carol Jean Antisdel D,D,S, are for informational purposes only.