Individual
SARA CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
S79W18900 JANESVILLE RD, MUSKEGO, WI 53150-9502
(262) 679-2414
Mailing address
S79W18900 JANESVILLE RD, MUSKEGO, WI 53150-9502
(262) 679-2414
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6000046-15
WI
Other
Enumeration date
07/18/2022
Last updated
07/18/2022
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