Individual
SMITA KUMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4915 WASHINGTON AVE STE B, RACINE, WI 53406-4221
(262) 619-1949
(877) 335-3684
Mailing address
2572 S 76TH ST, WEST ALLIS, WI 53219-2476
(414) 306-6420
(877) 335-3684
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7260-15
WI
Other
Enumeration date
06/10/2014
Last updated
06/10/2014
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