Organization
WISNOVA LLC
Active
Other names
Wisnova
Organization subpart
No
Provider details
NPI number
Authorized official
CODY NELSON DMD (OWNER/ENDODONTIST)
(412) 266-8924
Entity
Organization
Contact information
Practice address
5021 WASHINGTON RD, KENOSHA, WI 53144-4292
(262) 632-5455
Mailing address
5021 WASHINGTON RD, KENOSHA, WI 53144-4292
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
09/02/2025
Last updated
09/02/2025
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