Individual
ROBERT JEROME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1344 CRESTON PARK DR STE 2, JANESVILLE, WI 53545-1113
(608) 314-1940
Mailing address
1224 WINSTON DR, EDGERTON, WI 53534-1028
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1002340-15
WI
Other
Enumeration date
06/30/2020
Last updated
06/30/2020
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