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Individual

DR. TODD JOHN CONNELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
17100 W NORTH AVE, SUITE 102, BROOKFIELD, WI 53005-4436
(262) 786-7886
Mailing address
17100 W NORTH AVE, SUITE 102, BROOKFIELD, WI 53005-4436
(262) 786-7886

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
A4285
WI

Other

Enumeration date
10/23/2006
Last updated
07/08/2007
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