Individual
KATHLEEN MCCLELLAND SWARTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
W12802 COUNTY HIGHWAY A, BOWLER, WI 54416
(715) 793-4144
(715) 793-5044
Mailing address
W12802 COUNTY HIGHWAY A, BOWLER, WI 54416
(715) 793-4144
(715) 793-5044
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2901013834
MI
1223G0001X
General Practice Dentistry
Primary
6641
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6641
WI LICENSE
WI
Enumeration date
05/17/2007
Last updated
08/28/2013
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