Individual
KEVIN T RACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MS
Contact information
Practice address
12720 W NORTH AVENUE, BROOKFIELD, WI 53005
(262) 784-6700
(262) 784-1011
Mailing address
12720 W NORTH AVENUE, BROOKFIELD, WI 53005
(262) 784-6700
(262) 784-1011
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
4518
WI
Other
Enumeration date
10/26/2006
Last updated
07/08/2007
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