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Individual

JANAE MARIE MOMCHILOVICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
PO BOX 159, OSCEOLA, WI 54020-0159
(715) 294-2202
(715) 294-9995
Mailing address
PO BOX 159, OSCEOLA, WI 54020-0159
(715) 294-2202
(715) 294-9995

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6001286-15
WI
1223G0001X
General Practice Dentistry
D14936
MN
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/08/2021
Last updated
05/19/2025
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