Individual
AVIGYA SHRESTHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1714 N RANDALL AVE, JANESVILLE, WI 53545-0900
(608) 756-1229
Mailing address
542 S MIDVALE BLVD, MADISON, WI 53711-1423
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1001912-15
WI
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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