Individual
JAY FEUILLERAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1435 N. ACRES RD. SUITE 102, PRESCOTT, WI 54021
(715) 953-0499
Mailing address
1435 N. ACRES RD. SUITE 102, PRESCOTT, WI 54021
(715) 953-0499
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D13881
MN
Other
Enumeration date
06/26/2017
Last updated
02/28/2021
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