Individual
BRANDON BUCHHOLTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
970 S SILVER LAKE ST STE 101, OCONOMOWOC, WI 53066-3802
(262) 567-4700
Mailing address
1422 FOREST VIEW LN, OCONOMOWOC, WI 53066-3492
(262) 443-8283
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6001006-15
WI
Other
Enumeration date
05/10/2022
Last updated
06/20/2022
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