Individual
DR. KEVIN JAMES DILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
328 FRONT ST S, LA CROSSE, WI 54601-4023
(866) 284-8788
Mailing address
328 FRONT ST S, LA CROSSE, WI 54601-4023
(866) 284-8788
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12007852A
IN
Other
Enumeration date
04/17/2020
Last updated
04/17/2020
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