Individual
KATHLENE BRUCH-NENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1308 S CESAR E CHAVEZ DR, MILWAUKEE, WI 53204-2711
(414) 383-3220
(414) 383-3363
Mailing address
1308 S CESAR E CHAVEZ DR, MILWAUKEE, WI 53204-2711
(414) 383-3220
(414) 383-3363
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2629-016
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33820500
—
WI
Enumeration date
04/14/2008
Last updated
04/14/2008
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