Individual
KENNETH PAUL FERENTCHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1011 N MAYFAIR RD, SUITE 303, WAUWATOSA, WI 53226-3431
(414) 771-4480
(414) 771-8862
Mailing address
1011 N MAYFAIR RD, SUITE 303, WAUWATOSA, WI 53226-3431
(414) 771-4480
(414) 771-8862
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4039
WI
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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