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Individual

DR. JAMES HUGH ROLLEFSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS MS

Contact information

Practice address
16655 BLUEMOUND RD, SUITE 380, BROOKFIELD, WI 53005
(262) 786-1270
(262) 786-0023
Mailing address
16655 BLUEMOUND RD, SUITE 380, BROOKFIELD, WI 53005
(262) 786-1270
(262) 786-0023

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
5001405
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5001405
DENTAL LICENSE #
WI
Enumeration date
12/11/2006
Last updated
07/08/2007
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