Davies Pediatric Dentistry

NPI 1003908856 - Dentist - 1223P0221X

NPI Details
NPI 1003908856
Enumeration Date 09/29/2006
Last Updated 07/05/2011
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name KIRSTEN M. KIRSTEN
Position OWNER
Phone (262) 547-5813
Fax (262) 547-5835
Practice Location
2117 CORPORATE DRIVE
SUITE 100
WAUKESHA WI, 53189, US
Phone (262) 547-5813
Fax (262) 547-5835
Business Location
2117 CORPORATE DRIVE
SUITE 100
WAUKESHA WI, 53189, US
Phone (262) 547-5813
Fax (262) 547-5835
Toxanomy
Taxonomy Code 1223P0221X
License State Wisconsin
License Number 5000400-015
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According to our database, Davies Pediatric Dentistry NPI is 1003908856, taxonomy code is 1223P0221X and license number is 5000400-015, license state is located at Wisconsin. Davies Pediatric Dentistry physically located at 2117 Corporate Drive, Waukesha WI, 53189. NPI Number 1033115704 has the healthcare provider type.

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1003908856 NPI number is provided on an as is basis without warranty of any kind. 1003908856 is maintained by the National Plan & Provider Enumeration System. The contents of Davies Pediatric Dentistry are for informational purposes only.