Individual
DR. TIMOTHY ALAN JENNESS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4040 N CALHOUN RD, BROOKFIELD, WI 53005-1336
(262) 781-8927
(262) 781-6357
Mailing address
W184S6668 JEWEL CREST DR, MUSKEGO, WI 53150-8503
(262) 853-8927
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2314
WI
Other
Enumeration date
05/09/2006
Last updated
07/08/2007
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