Individual
DR. CHARLES FRANK VENTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1210 MARSH VIEW DR, MUKWONAGO, WI 53149-7700
(262) 363-4041
Mailing address
2732 NORTHVIEW RD UNIT 78, WAUKESHA, WI 53188-2036
(414) 659-0691
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6376-15
WI
Other
Enumeration date
05/21/2009
Last updated
05/21/2009
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