Individual
DR. ANTHONY LOTESTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
10155 WASHINGTON AVE, STURTEVANT, WI 53177-1645
(262) 884-3011
Mailing address
10155 WASHINGTON AVE, STURTEVANT, WI 53177-1645
(262) 884-3011
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
1002445-15
WI
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DGD8774
SC
Other
Enumeration date
07/26/2016
Last updated
09/22/2020
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