James Edward Kertis D.D.S.

NPI 1639462567 - Dentist - 122300000X

NPI Details
NPI 1639462567
Gender Male
Enumeration Date 05/25/2011
Last Updated 05/25/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
LA CROSSE WI, 54601-6372, US
Phone (507) 358-1765
Business Location
2157 17TH ST NE
ROCHESTER MN, 55906-4313, US
Phone (507) 358-1765
Taxonomy Code 122300000X
License State Wisconsin
License Number 6684-15
Remove 1639462567 NPI Number

According to our database, Dr. James Edward Kertis D.D.S. NPI is 1639462567, taxonomy code is 122300000X and license number is 6684-15, license state is located at Wisconsin. James Edward Kertis D.D.S. physically located at 1212 Horton St, La Crosse WI, 54601-6372. NPI Number James Edward Kertis D.D.S. has the Individual type.

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1639462567 NPI number is provided on an as is basis without warranty of any kind. 1639462567 is maintained by the National Plan & Provider Enumeration System. The contents of James Edward Kertis D.D.S. are for informational purposes only.