Individual
DANIELLE CIANCIOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1211 DOLPHIN CT, WAUKESHA, WI 53186-1488
(262) 436-3363
Mailing address
1211 DOLPHIN CT, WAUKESHA, WI 53186-1488
(414) 808-3031
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
1002652
WI
Other
Enumeration date
03/24/2019
Last updated
07/22/2021
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