Organization
TERRY W HUFF DDS SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY WILLIAM HUFF DDS (PRESIDENT)
(262) 654-2261
Entity
Organization
Contact information
Practice address
6402 SHERIDAN RD, KENOSHA, WI 53143
(262) 654-2261
(262) 657-6933
Mailing address
6402 SHERIDAN RD, KENOSHA, WI 53143
(262) 654-2261
(262) 657-6933
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
5000910015
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33675300
—
WI
Enumeration date
02/08/2006
Last updated
08/22/2020
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