Individual
DR. KENDRA DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
419 E BROADWAY, WAUKESHA, WI 53186-5082
(262) 549-6850
Mailing address
419 E BROADWAY, WAUKESHA, WI 53186-5082
(262) 549-6850
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
100157015
WI
Other
Enumeration date
06/10/2017
Last updated
09/18/2019
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