Individual
DR. DENNIS M CONNOLLY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS MS
Contact information
Practice address
2901 35TH ST, KENOSHA, WI 53140-5119
(262) 658-3488
(262) 658-3433
Mailing address
2901 35TH ST, KENOSHA, WI 53140-5119
(262) 658-3488
(262) 658-3433
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
50008894
WI
Other
Enumeration date
12/13/2005
Last updated
07/08/2007
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