Individual
KAYLEE KASSANDRA BREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
706 S GAMMON RD, MADISON, WI 53719-1302
(608) 720-1112
Mailing address
9 ROCKY RIDGE DR, TRUMBULL, CT 06611-5326
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
600107515
WI
Other
Enumeration date
08/30/2022
Last updated
08/30/2022
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