Organization
KEWASKUM FAMILY DENTISTRY
Active
Other names
KEWASKUM FAMILY DENTISTRY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARA KLASINSKI DDS (OWNER)
(262) 626-2119
Entity
Organization
Contact information
Practice address
1721 FOND DU LAC AVE, KEWASKUM, WI 53040-8954
(262) 626-2119
Mailing address
1204 FOND DU LAC AVE, KEWASKUM, WI 53040-8954
(262) 626-2119
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/01/2022
Last updated
11/04/2024
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