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Organization

WALES FAMILY DENTAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KATHRYN C CONNOR (PRESIDENT)
(614) 893-0424
Entity
Organization

Contact information

Practice address
300 E SUMMIT AVE, SUITE C, WALES, WI 53183-9664
(262) 347-4084
Mailing address
482 E WELSH RD, WALES, WI 53183-9744
(614) 893-0424

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
6798-15
WI

Other

Enumeration date
02/01/2017
Last updated
02/01/2017
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