Individual
DR. SAMANTHA DE PONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
7215 W RAWSON AVE, FRANKLIN, WI 53132-8117
(262) 527-0254
Mailing address
1620 RIVERS BND APT 408, WAUWATOSA, WI 53226-3066
(262) 527-0254
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1001573-15
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/22/2017
Last updated
07/21/2022
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