Individual
DR. BRENDA KRISTINE GARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1530 DORIS DR, FORT ATKINSON, WI 53538-9113
(920) 563-9373
Mailing address
1530 DORIS DR, FORT ATKINSON, WI 53538-9113
(920) 563-9373
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
10160
CO
122300000X
Dentist
Primary
6408-15
WI
Other
Enumeration date
06/11/2009
Last updated
05/21/2024
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