Individual
DR. KEVIN DANIEL CASTLEBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
560 MILL ST, GREEN LAKE, WI 54941
(920) 294-6790
Mailing address
560 MILL ST, GREEN LAKE, WI 54941-9527
(920) 294-6790
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7284-15
WI
Other
Enumeration date
06/30/2014
Last updated
05/16/2018
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