Individual
KATELYN MARIE STINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
6535 W NORTH AVE, WAUWATOSA, WI 53213-2016
(414) 258-8190
Mailing address
6535 W NORTH AVE, WAUWATOSA, WI 53213-2016
(414) 382-2000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
NA
WI
Other
Enumeration date
06/06/2020
Last updated
05/19/2026
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