Individual
DR. STEPHEN REYNOLDS VAN ESS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1053 FOND DU LAC AVE, KEWASKUM, WI 53040-9495
(262) 626-8444
(262) 626-8260
Mailing address
1053 FOND DU LAC AVE, KEWASKUM, WI 53040-9495
(262) 626-8444
(262) 626-8260
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
02775
WI
Other
Enumeration date
06/10/2005
Last updated
07/08/2007
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