Individual
DR. JULIA ELIZABETH KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
11819 W DIANE DR, WAUWATOSA, WI 53226-3348
(262) 894-6230
Mailing address
11819 W DIANE DR, WAUWATOSA, WI 53226-3348
(262) 894-6230
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7247-15
WI
Other
Enumeration date
06/05/2014
Last updated
10/27/2014
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