Individual
KYLE GARRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
330 E MAIN ST, TWIN LAKES, WI 53181-9682
(262) 877-2161
Mailing address
320 ALPINE MEADOW CIR, OREGON, WI 53575-3832
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7259-15
WI
Other
Enumeration date
06/10/2014
Last updated
06/10/2014
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