Individual
HONGSEOK AN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1801 W WISCONSIN AVE, FACULTY PRACTICE, MILWAUKEE, WI 53233-2186
(414) 288-0788
Mailing address
1801 W WISCONSIN AVE, ROOM 318, MILWAUKEE, WI 53233-2186
(414) 288-6775
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
18070-875
WI
Other
Enumeration date
01/13/2016
Last updated
01/13/2016
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