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Individual

DR. CLARICE JOY MICHALSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
6226 14TH AVE, KENOSHA, WI 53143-4413
(262) 656-0044
Mailing address
4006 WASHINGTON RD, KENOSHA, WI 53144-4819
(262) 656-0044

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6001792-15
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100328306
WI
Enumeration date
05/28/2025
Last updated
07/08/2026
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