Individual
DR. JEREMY STEVEN LOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
450 MILL ST STE 101, FONTANA, WI 53125-1242
(262) 275-8080
Mailing address
450 MILL ST STE 101, FONTANA, WI 53125-1242
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1001276-15
WI
Other
Enumeration date
04/16/2015
Last updated
01/06/2025
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