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Individual

DR. JOSHUA MICHAL KUCHARSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
DS038788
PA
1223E0200X
Endodontics
0401415405
VA
1223E0200X
Endodontics
Primary
1001764
WI
1223E0200X
Endodontics
D10265
OR

Other

Enumeration date
07/24/2011
Last updated
05/25/2018
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