Individual
DR. AGNIESZKA DOMAGALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1801 W. WISCONSIN AVE., MARQUETTE UNIVERSITY SCHOOL OF DENTISTRY/AEGD, MILWAUKEE, WI 53233
(414) 288-7388
Mailing address
14257 WATERFORD SQUARE DR, NEW BERLIN, WI 53151-9509
(708) 655-9724
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019027819
IL
Other
Enumeration date
09/29/2008
Last updated
09/29/2008
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