Individual
DR. CARLTON L DONOWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3011 90TH ST, STURTEVANT, WI 53177-2714
(262) 656-0764
(262) 656-1833
Mailing address
6032 40TH AVE, KENOSHA, WI 53142-7018
(262) 656-0764
(262) 656-1833
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4819-15
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33743600
—
WI
Enumeration date
10/04/2005
Last updated
04/17/2022
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