Individual
BENJAMIN FRANKLIN INGALDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3380 S KINNICKINNIC AVE, MILWAUKEE, WI 53207-3159
(414) 482-2090
(414) 482-0265
Mailing address
3380 S KINNICKINNIC AVE, MILWAUKEE, WI 53207-3159
(414) 482-2090
(414) 482-0265
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5001762
WI
Other
Enumeration date
04/09/2008
Last updated
04/09/2008
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