Individual
DR. RANDALL CURTISS PACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6520 W LAYTON AVE, GREENFIELD, WI 53220
(414) 282-5560
(414) 282-6790
Mailing address
6520 W LAYTON AVE, GREENFIELD, WI 53220
(414) 282-5560
(414) 282-6790
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
WIS5001352
WI
Other
Enumeration date
09/07/2006
Last updated
07/08/2007
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