Individual
DR. KELLEY MARIE DENTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
W178N9201 WATER TOWER PL, MENOMONEE FALLS, WI 53051-8044
(262) 251-8704
Mailing address
W178N9201 WATER TOWER PL STE 100, MENOMONEE FALLS, WI 53051-8045
(262) 251-8704
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN1856732
MA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
1001985-15
WI
Other
Enumeration date
09/03/2014
Last updated
06/08/2025
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