Individual
KYLE ATEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2620 W WALL ST, JANESVILLE, WI 53548-3301
(608) 405-8345
Mailing address
2620 W WALL ST, JANESVILLE, WI 53548-3301
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
1002230-15
WI
Other
Enumeration date
04/05/2019
Last updated
03/12/2022
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