Individual
DR. DANIEL R KUJAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1200 MAIN ST, LA CROSSE, WI 54601-4102
(608) 784-4063
(608) 782-5757
Mailing address
1200 MAIN ST, LA CROSSE, WI 54601-4102
(608) 784-4063
(608) 782-5757
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5352-015
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
391191322
FED TAX ID
WI
Enumeration date
01/04/2007
Last updated
01/15/2021
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