Individual
DR. KENNETH R BRISSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
821 COULEE RD, HUDSON, WI 54016-2211
(715) 386-3548
(715) 386-3634
Mailing address
821 COULEE RD, HUDSON, WI 54016-2211
(715) 386-3548
(715) 386-3634
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
WI 1374-G
WI
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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