Individual
ROBERT D KONEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S, F.A.G.D
Contact information
Practice address
147 3RD ST, BARABOO, WI 53913-2423
(608) 356-3790
(608) 356-7863
Mailing address
940 BASCOM HILL DR, BARABOO, WI 53913-1281
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3210
WI
Other
Enumeration date
08/18/2006
Last updated
07/08/2007
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