Individual
SHERRY JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
435 E MILL ST, PLYMOUTH, WI 53073-1850
(920) 893-5131
Mailing address
435 E MILL ST, PLYMOUTH, WI 53073-1850
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5082
WI
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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