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Individual

DR. JEFFREY J TWOHIG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
52 S MARR ST, FOND DU LAC, WI 54935-4337
(920) 923-2100
Mailing address
52 S MARR ST, FOND DU LAC, WI 54935-4337
(920) 923-2100

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
4456-015
WI

Other

Enumeration date
12/04/2006
Last updated
07/08/2007
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