Individual
DR. TODD EDWARD PIENKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10155 WASHINGTON AVE, STURTEVANT, WI 53177-1645
(262) 884-3011
(262) 664-7799
Mailing address
10155 WASHINGTON AVE, STURTEVANT, WI 53177-1645
(262) 884-3011
(262) 664-7799
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019-024882
IL
1223P0700X
Prosthodontics
019-024882
IL
1223P0700X
Prosthodontics
Primary
6396-15
WI
Other
Enumeration date
02/14/2006
Last updated
05/10/2017
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