Individual
GRACE KIM TOSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
15375 W BLUEMOUND RD STE 150, BROOKFIELD, WI 53005-4008
(262) 923-8731
Mailing address
36078 RAVINIA PARK BLVD, OCONOMOWOC, WI 53066-9204
(414) 935-8293
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1002213
WI
Other
Enumeration date
10/21/2019
Last updated
10/21/2019
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