Individual
ANTHONY HUIZENGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1414 N TAYLOR DR STE 230, SHEBOYGAN, WI 53081-3090
(920) 453-5972
Mailing address
1414 N TAYLOR DR STE 230, SHEBOYGAN, WI 53081-3090
(920) 453-5972
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1002577-15
WI
Other
Enumeration date
06/17/2021
Last updated
06/17/2021
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