Individual
KAITLIN ANNE JASPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1001 MADISON AVE, SOUTH MILWAUKEE, WI 53172-2500
(414) 764-6760
Mailing address
1001 MADISON AVE, SOUTH MILWAUKEE, WI 53172-2500
(414) 764-6760
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1002351
WI
Other
Enumeration date
06/16/2020
Last updated
10/23/2020
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