Individual
DR. JOAN L. FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
400 S TOWNLINE RD, WAUTOMA, WI 54982-6922
(920) 787-5514
Mailing address
PO BOX 1440, WAUTOMA, WI 54982-1440
(920) 787-5514
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1001455-15
WI
1223G0001X
General Practice Dentistry
D4274
AZ
Other
Enumeration date
12/12/2007
Last updated
12/05/2016
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