Individual
DR. TEJPAL SINGH ATHWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5707 75TH ST, KENOSHA, WI 53142-3603
(262) 697-0321
Mailing address
5707 75TH ST, KENOSHA, WI 53142-3603
(262) 697-0321
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1002315
WI
Other
Enumeration date
06/17/2020
Last updated
10/18/2024
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