Individual
KATHRYN LANGEVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
108 S MAIN STREET, BIRCHWOOD, WI 54817
(715) 354-3369
Mailing address
15954 RIVERS EDGE DR STE 304, HAYWARD, WI 54843-7894
(715) 634-2541
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1001890
WI
Other
Enumeration date
07/11/2018
Last updated
07/11/2018
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