Individual
DR. JENNIFER ABRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
193 GREEN BAY RD, THIENSVILLE, WI 53092-1603
(262) 242-0720
Mailing address
193 GREEN BAY ROAD, THIENSVILLE, WI 53092-1603
(262) 242-0720
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4185
WI
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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