Individual
HOOMAN ABDOLISERESHKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
62 S PLEASANT VIEW RD # A, PLYMOUTH, WI 53073-4954
(920) 892-8466
(847) 496-4850
Mailing address
62 S PLEASANT VIEW RD # A, PLYMOUTH, WI 53073-4954
(920) 892-8466
(847) 496-4850
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019030108
WI
Other
Enumeration date
02/19/2015
Last updated
11/19/2019
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