Organization
WHITEWATER FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENIE KUBLE (CONTACT OFFICER)
(920) 450-0157
Entity
Organization
Contact information
Practice address
1515 W MAIN ST, WHITEWATER, WI 53190-1957
(262) 473-3700
Mailing address
1515 W MAIN ST, WHITEWATER, WI 53190-1957
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/02/2008
Last updated
05/16/2016
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