Individual
MARY PANYK OSHIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
3903 DOUGLAS AVE, RACINE, WI 53402-3230
(262) 639-1272
Mailing address
3903 DOUGLAS AVE, RACINE, WI 53402-3230
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3527
WI
Other
Enumeration date
06/04/2008
Last updated
06/04/2008
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