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Individual

DAVID JANET

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
5898 WOODLAND DR, WAUNAKEE, WI 53597-8714
(608) 849-4794
Mailing address
10312 S KILDARE AVE, OAK LAWN, IL 60453-4804
(708) 601-5666

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1001892-15
WI

Other

Enumeration date
07/18/2018
Last updated
07/18/2018
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