Individual
DR. MOLLY CONLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-3000
Mailing address
9200 W WISCONSIN AVENUE, MILWAUKEE, WI 53226-3522
(414) 805-3666
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1002096
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437718269
—
WI
Enumeration date
06/05/2019
Last updated
08/01/2019
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