Individual
KATHARINE NELSON SUWALSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
7626 WARREN AVE, WAUWATOSA, WI 53213-2258
(414) 550-5507
Mailing address
7626 WARREN AVE, WAUWATOSA, WI 53213-2258
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1001452-15
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/26/2016
Last updated
01/18/2018
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