Organization
DNT ASSOCIATES INC
Active
Other names
Dentacare Kenosha
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONOVON LEE (OWNER)
(414) 306-6420
Entity
Organization
Contact information
Practice address
6521 GREEN BAY RD, KENOSHA, WI 53142-2967
(414) 306-6420
(877) 335-3684
Mailing address
2572 S 76TH ST, WEST ALLIS, WI 53219-2476
(414) 306-6420
(877) 335-3684
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/20/2015
Last updated
10/20/2015
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