Individual
DR. KRISTIN LYNN OSGOOD KOTLEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
10155 WASHINGTON AVE, STURTEVANT, WI 53177-1645
(262) 884-3011
(262) 664-7799
Mailing address
4554 W ALESCI DR, FRANKLIN, WI 53132-8170
(414) 423-5665
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
4902
WI
1223G0001X
General Practice Dentistry
Primary
4902
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33742300
—
WI
Enumeration date
07/05/2006
Last updated
12/18/2018
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