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Individual

DR. NANA BOAHENE KWABENA YEBOAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
6226 14TH AVE, KENOSHA, WI 53143-4413
(262) 656-0044
Mailing address
4536 22ND AVE, KENOSHA, WI 53140-5917
(262) 656-0044

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6764-15
WI

Other

Enumeration date
07/08/2011
Last updated
07/08/2011
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