Individual
DR. SHIVANI KUSHWAHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2831 NATIONAL DR, ONALASKA, WI 54650-6703
(608) 781-9092
Mailing address
41016 STATE HIGHWAY 30, RUSHFORD, MN 55971-5157
(507) 202-4807
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
600104015
WI
Other
Enumeration date
07/25/2022
Last updated
07/25/2022
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