Individual
DR. RONALD BRIAN SERSHON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2909 E. PARK AVE., CVCTF HSU DENTAL, CHIPPEWA FALLS, WI 54729
(608) 739-2690
Mailing address
2909 E. PARK AVE., CVCTF HSU DENTAL, CHIPPEWA FALLS, WI 54729
(608) 739-2690
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6287-15
WI
1223G0001X
General Practice Dentistry
019018687
IL
Other
Enumeration date
11/07/2006
Last updated
12/03/2013
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