Individual
DR. MARK PATRICK KUGLITSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
12660 W NORTH AVE BLDG D, BROOKFIELD, WI 53005-4633
(262) 432-1600
Mailing address
12660 W NORTH AVE BLDG D, BROOKFIELD, WI 53005-4633
(262) 432-1600
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
5266-15
WI
1223G0001X
General Practice Dentistry
Primary
5266015
WI
Other
Enumeration date
08/31/2006
Last updated
02/25/2026
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