Individual
DR. MEGAN SARAH DESROCHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
N64W24050 MAIN ST SUITE 200, SUSSEX, WI 53089
(262) 820-0825
Mailing address
N69W23391 SALEM CT W, SUSSEX, WI 53089-3265
(262) 224-9101
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
6403-015
WI
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
6403-15
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/01/2009
Last updated
07/09/2023
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