Individual
DR. JEROME WILLIAM GILDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11501 N PORT WASHINGTON RD, MEQUON, WI 53092
(262) 241-8880
(262) 241-5250
Mailing address
11501 N PORT WASHINGTON RD, MEQUON, WI 53092
(262) 241-8880
(262) 241-5250
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3501
WI
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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