Individual
MRS. KELLY L.M. NEWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
139 E. CAPITOL DR., HARTLAND, WI 53029
(262) 367-2750
Mailing address
139 E. CAPITOL DR., HARTLAND, WI 53029
(262) 367-2750
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7104-15
WI
Other
Enumeration date
06/18/2013
Last updated
06/18/2013
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