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Organization

LIBRARY PARK DENTAL SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. FC CHIAPPETTA DDS (PRESIDENT)
(262) 654-6535
Entity
Organization

Contact information

Practice address
6121 7TH AVE, KENOSHA, WI 53143-4506
(262) 654-6535
(262) 654-3358
Mailing address
6121 7TH AVE, KENOSHA, WI 53143-4506
(262) 654-6535
(262) 654-3358

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5002014
WI

Other

Enumeration date
05/27/2008
Last updated
09/28/2016
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