Individual
DR. JULIET ANNE SLAVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
311 E TYRANENA PARK RD, LAKE MILLS, WI 53551-9681
(920) 648-2331
(920) 648-3437
Mailing address
311 E TYRANENA PARK RD, LAKE MILLS, WI 53551-9681
(920) 648-2331
(920) 648-3437
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3647
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33489300
—
WI
05
—
38395300
—
WI
Enumeration date
07/27/2006
Last updated
04/23/2009
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