Organization
SOUTH EAST WISCONSIN ENDODONTIC ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES K. KREUTZER (DENTIST)
(262) 658-9140
Entity
Organization
Contact information
Practice address
4707 WASHINGTON RD., KENOSHA, WI 53144
(262) 658-9140
Mailing address
4707 WASHINGTON RD., KENOSHA, WI 53144
(262) 658-9140
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
1984G
WI
Other
Enumeration date
04/06/2007
Last updated
07/03/2008
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