Individual
KEVIN S O'LEARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2004 W COURT ST, JANESVILLE, WI 53548-3470
(608) 758-2004
(608) 758-2443
Mailing address
2004 W COURT ST, JANESVILLE, WI 53548-3470
(608) 758-2004
(608) 758-2443
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4303
WI
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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