Individual
DR. CAROL JEAN ANTISDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D,D,S,
Contact information
Practice address
661 E GREEN BAY AVE, SAUKVILLE, WI 53080-2013
(262) 284-7111
(262) 284-1172
Mailing address
661 E GREEN BAY AVE, SAUKVILLE, WI 53080-2013
(262) 284-7111
(262) 284-1172
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2486-015
WI
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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