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Individual

DR. J DENNIS CONNOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1204 FOND DU LAC AVE, KEWASKUM, WI 53040-8954
(262) 626-2119
(262) 626-2110
Mailing address
PO BOX 66, KEWASKUM, WI 53040-0066
(262) 626-2119
(262) 626-2110

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
WI

Other

Enumeration date
08/22/2006
Last updated
07/08/2007
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