Individual
DR. MARISSA CODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
8215 GREENWAY BLVD STE 100, MIDDLETON, WI 53562-3686
(608) 827-6453
Mailing address
8215 GREENWAY BLVD STE 100, MIDDLETON, WI 53562-3686
(608) 827-6453
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1002708
WI
Other
Enumeration date
09/21/2021
Last updated
09/21/2021
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