Individual
DR. VIJAYALAKSHMI SHETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
534 REDBIRD CIR, DE PERE, WI 54115-8785
(920) 336-4002
(920) 336-4112
Mailing address
534 REDBIRD CIR, DE PERE, WI 54115-8785
(920) 336-4002
(920) 336-4112
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
5289
WI
Other
Enumeration date
01/03/2007
Last updated
01/17/2024
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