Individual
DR. KRISTINA GRABOWSKI CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
125 N EXECUTIVE DR, SUITE 105, BROOKFIELD, WI 53005-6070
(262) 784-7201
Mailing address
125 N. EXECUTIVE DR., SUITE 105, BROOKFIELD, WI 53005
(262) 784-7201
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
5645
WI
1223G0001X
General Practice Dentistry
Primary
5641
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1856410
—
LA
Enumeration date
09/20/2006
Last updated
05/14/2010
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