Individual
DR. SHANA N QUANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
17535 W NORTH AVE, BROOKFIELD, WI 53045-4343
(262) 786-4119
Mailing address
17535 W NORTH AVE, BROOKFIELD, WI 53045-4343
(262) 786-4119
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5599015
WI
Other
Enumeration date
04/17/2008
Last updated
04/17/2008
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