Individual
JASON KRAHENBUHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1714 N RANDALL AVE, JANESVILLE, WI 53545
(608) 756-1229
Mailing address
1714 N RANDALL AVE, JANESVILLE, WI 53545-0900
(608) 756-1229
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1001090-15
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/06/2015
Last updated
10/22/2015
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