Individual
KENNETH PETER SOBCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5000 W NATIONAL AVE, MILWAUKEE, WI 53295-0001
(414) 384-2000
Mailing address
2105 CHANCEL CT, NEW BERLIN, WI 53151-2396
(262) 641-9520
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
5001194
WI
Other
Enumeration date
07/14/2006
Last updated
07/08/2007
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