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Individual

DR. DREW J, DELFORGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
2727 6TH STREET, LOWER LEVEL, MONROE, WI 53566-0399
(608) 325-4995
Mailing address
2727 6TH STREET, P.O. BOX 399, MONROE, WI 53566-0399
(608) 325-4995

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4145
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
33659800
WI
Enumeration date
01/09/2008
Last updated
02/26/2014
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