Organization
J DENNIS CONNOR DDS SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES DENNIS CONNOR DDS (PRESIDENT)
(262) 626-2119
Entity
Organization
Contact information
Practice address
1204 FOND DU LAC AVE, KEWASKUM, WI 53040-8954
(262) 626-2119
(262) 626-2110
Mailing address
1204 FOND DU LAC AVE, KEWASKUM, WI 53040-8954
(262) 626-2119
(262) 626-2110
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5001200015
WI
Other
Enumeration date
02/23/2007
Last updated
08/22/2020
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