Individual
DR. DANIELLE NOEL BARSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
9000 W WISCONSIN AVE, DENTAL CLINIC, MILWAUKEE, WI 53226-4874
(414) 266-2040
(414) 266-5677
Mailing address
9000 W WISCONSIN AVE, MS 958, MILWAUKEE, WI 53226-4874
(414) 266-7451
(414) 266-6238
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
1001212-015
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306900451
—
WI
Enumeration date
12/21/2006
Last updated
08/18/2021
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