Individual
DR. AMANDA K OLEJNICZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1505 WISCONSIN AVE, STE 130, GRAFTON, WI 53024
(262) 377-8950
Mailing address
1505 WISCONSIN AVE STE 130, GRAFTON, WI 53024-2075
(262) 377-8950
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
7185
WI
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
7185-15
WI
Other
Enumeration date
08/10/2014
Last updated
11/25/2019
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