Individual
DANIELLE ROSE SHINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
1163 GRAND AVE, HARTFORD, WI 53027-2458
(262) 673-7826
Mailing address
1105 63RD AVE, KENOSHA, WI 53144-1119
(262) 237-7228
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
600120715
WI
Other
Enumeration date
06/21/2023
Last updated
12/15/2023
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