Individual
GABRIELLA LUCIANNA DOBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6226 14TH AVE, KENOSHA, WI 53143-4413
(262) 925-7025
(262) 654-9333
Mailing address
625 57TH ST, STE 700, KENOSHA, WI 53140-4146
(262) 925-7025
(262) 654-9333
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
10862016
WI
Other
Enumeration date
12/17/2010
Last updated
12/17/2010
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