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Organization
DENTAL CARE PROVIDERS OF AMERICA
Active
Organization
DENTAL CARE PROVIDERS OF AMERICA
Active
Other names
Dental Care of Kenosha
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM RYAN KISKER D.M.D. (PRESIDENT)
(224) 645-4929
Entity
Organization
Contact information
Practice address
3715 WASHINGTON RD, KENOSHA, WI 53144-1629
(262) 237-6238
Mailing address
PO BOX 788, KENOSHA, WI 53141-0788
(262) 842-2877
(877) 725-4332
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
1001058-15
WI
Other
Enumeration date
06/15/2015
Last updated
06/15/2015
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