Individual
DR. MAGDA J CANEVARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
6032 40TH AVE, KENOSHA, WI 53142-7018
(262) 656-0764
(262) 656-1833
Mailing address
5222 W BEHRENDT ST, FRANKLIN, WI 53132-8185
(414) 282-4095
(414) 282-4168
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5046-015
WI
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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