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Individual

JACK PATRICK DOOLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
2596 S BAY SHORE DR, SISTER BAY, WI 54234-9157
(920) 854-6556
Mailing address
845 N 8TH AVE UNIT 4, STURGEON BAY, WI 54235-1130
(920) 321-6409

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6001516-15
WI

Other

Enumeration date
05/28/2024
Last updated
05/31/2024
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