Individual
DYLAN EDWARD JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2855 CAROLINA CHERRY DR, SUAMICO, WI 54313-3269
(920) 499-8888
Mailing address
4955 FOUNDERS TER APT 308, HOBART, WI 54155-7714
(319) 480-7260
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2021021360
MO
122300000X
Dentist
Primary
6001133-15
WI
122300000X
Dentist
DS043426
PA
Other
Enumeration date
06/10/2021
Last updated
03/12/2023
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