Individual
DR. KRISSY CONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
14320 W GREENFIELD AVE, BROOKFIELD, WI 53005-7036
(262) 923-7879
(262) 436-2541
Mailing address
14320 W GREENFIELD AVE, BROOKFIELD, WI 53005-7036
(262) 923-7879
(262) 436-2541
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6310-015
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100104653
—
WI
Enumeration date
09/15/2008
Last updated
01/19/2024
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